SIMON IKECHUKWU IROHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

Title

First Name

SIMON

Middle

IKECHUKWU

Last Name

IROHA

Business Name

SIMON IKECHUKWU IROHA MD

Original Issue Date

10/12/2016

Effective Date

10/12/2016

Expiration Date

07/31/2017

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020