EVARISTUS F UDOISA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

EVARISTUS F

Last Name

UDOISA

Suffix

Business Name

EVARISTUS F UDOISA MD

Original Issue Date

04/04/1983

Effective Date

08/02/2023

Expiration Date

07/31/2026

City

BERKELEY

State

Zip

60163

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2023