WATCOUN-NCHINDA EDWARD PISOH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

WATCOUN-NCHINDA

Middle

EDWARD

Last Name

PISOH

Business Name

WATCOUN-NCHINDA EDWARD PISOH MD

Original Issue Date

04/22/2014

Effective Date

05/20/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61614

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023