RICHARD N A EGWELE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

RICHARD

Middle

N A

Last Name

EGWELE

Suffix

Business Name

RICHARD N A EGWELE MD

Original Issue Date

01/01/1997

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023