UGONNA THOMAS ANTOINE NWANKWO 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

UGONNA

Middle

THOMAS ANTOINE

Last Name

NWANKWO

Business Name

UGONNA THOMAS ANTOINE NWANKWO MD

Original Issue Date

07/30/2018

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023