SAMUEL R OBIEKWE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

SAMUEL R

Last Name

OBIEKWE

Business Name

SAMUEL R OBIEKWE

Original Issue Date

04/23/1991

Effective Date

04/23/1991

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006