OWORI BWIRE MANG'ENI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

OWORI

Middle

BWIRE

Last Name

MANG'ENI

Business Name

OWORI BWIRE MANG'ENI MD

Original Issue Date

04/01/2025

Effective Date

04/01/2025

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/12/2025