NGOZI N EZIKE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

NGOZI

Middle

Last Name

EZIKE

Business Name

NGOZI N EZIKE

Original Issue Date

08/22/2003

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023