PROSPER IKECHUKWU IGBOELI 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

PROSPER

Middle

IKECHUKWU

Last Name

IGBOELI

Business Name

PROSPER IKECHUKWU IGBOELI MD

Original Issue Date

03/01/2018

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021