JOHN I NGENE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

Last Name

NGENE

Business Name

JOHN I NGENE MD

Original Issue Date

04/15/2016

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023