HERBERT OSITA EZUGHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

HERBERT

Middle

OSITA

Last Name

EZUGHA

Business Name

HERBERT OSITA EZUGHA MD

Original Issue Date

06/07/2012

Effective Date

09/21/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021