ANTHONY SEBASTIAN EKONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

SEBASTIAN

Last Name

EKONG

Suffix

Business Name

ANTHONY SEBASTIAN EKONG MD

Original Issue Date

02/03/2004

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017