NWANNADIYA GLORY UGAH Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

CANCELLED

Business

First Name

NWANNADIYA

Middle

GLORY

Last Name

UGAH

Business Name

NWANNADIYA GLORY UGAH

Original Issue Date

06/30/1998

Effective Date

06/30/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

09/26/2006