OME KIEMUTE NWANZE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

OME

Middle

KIEMUTE

Last Name

NWANZE

Business Name

OME KIEMUTE NWANZE MD

Original Issue Date

06/18/2009

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

GREENVILLE

State

Zip

62246

County

BOND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014