OLUCHUKWU EZINMA OKONKWO 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

Title

First Name

OLUCHUKWU

Middle

EZINMA

Last Name

OKONKWO

Business Name

OLUCHUKWU EZINMA OKONKWO MD

Original Issue Date

09/21/2023

Effective Date

09/21/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/21/2023