SONYA NICHOLE EPHRAIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

SONYA

Middle

NICHOLE

Last Name

EPHRAIM

Suffix

Business Name

SONYA NICHOLE EPHRAIM MD

Original Issue Date

08/03/2010

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023