ADAMMA MUODEME MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

Title

First Name

ADAMMA

Last Name

MUODEME

Business Name

ADAMMA MUODEME MD

Original Issue Date

04/21/2022

Effective Date

05/22/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/22/2023