CHIOMA VIVIAN UDOGU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

CHIOMA

Middle

VIVIAN

Last Name

UDOGU

Business Name

CHIOMA VIVIAN UDOGU MD

Original Issue Date

09/27/2019

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023