CHIOMA PAMELA EZEANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

CHIOMA

Middle

PAMELA

Last Name

EZEANI

Business Name

CHIOMA PAMELA EZEANI MD

Original Issue Date

10/22/2015

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023