MARYANN CHINYELU FISHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

MARYANN

Middle

CHINYELU

Last Name

FISHER

Business Name

MARYANN CHINYELU FISHER MD

Original Issue Date

11/24/2020

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023