NGOYI MUKANKU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

NGOYI

Last Name

MUKANKU

Suffix

Business Name

NGOYI MUKANKU MD

Original Issue Date

12/18/1985

Effective Date

12/18/1985

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006