EMEDIONG QUEEN UDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

EMEDIONG

Middle

QUEEN

Last Name

UDO

Business Name

EMEDIONG QUEEN UDO MD

Original Issue Date

07/26/2022

Effective Date

07/26/2022

Expiration Date

07/31/2023

City

DOWNERS GROVE

State

Zip

60515

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023