IJEAMAKA SANDRA EZEBILO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

IJEAMAKA

Middle

SANDRA

Last Name

EZEBILO

Business Name

IJEAMAKA SANDRA EZEBILO MD

Original Issue Date

07/11/2023

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023