ANDREA EVBU IYEKEPOLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

Title

First Name

ANDREA

Middle

EVBU

Last Name

IYEKEPOLO

Business Name

ANDREA EVBU IYEKEPOLO MD

Original Issue Date

07/30/2019

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023