TED GEORGE ODY ACHUFUSI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

TED

Middle

GEORGE ODY

Last Name

ACHUFUSI

Suffix

Business Name

TED GEORGE ODY ACHUFUSI DO

Original Issue Date

10/15/2019

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023