BRYAN ANOCHILI IKEUDENTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

BRYAN

Middle

ANOCHILI

Last Name

IKEUDENTA

Business Name

BRYAN ANOCHILI IKEUDENTA MD

Original Issue Date

09/26/2023

Effective Date

09/26/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2024