IFEANYI OBIANYO IWUCHUKWU Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

IFEANYI

Middle

OBIANYO

Last Name

IWUCHUKWU

Business Name

IFEANYI OBIANYO IWUCHUKWU

Original Issue Date

05/19/2009

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023