IJEOMA CHINENYE EZEIFE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

IJEOMA

Middle

CHINENYE

Last Name

EZEIFE

Suffix

Business Name

IJEOMA CHINENYE EZEIFE MD

Original Issue Date

07/19/2016

Effective Date

07/19/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017