CHARMAINE I OKONKWO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

CANCELLED

Business

First Name

CHARMAINE I

Last Name

OKONKWO

Business Name

CHARMAINE I OKONKWO

Original Issue Date

08/14/1996

Effective Date

08/14/1996

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60624

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006