JESSICA IMUETINYAN OBEAHON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

JESSICA

Middle

IMUETINYAN

Last Name

OBEAHON

Business Name

JESSICA IMUETINYAN OBEAHON MD

Original Issue Date

06/24/2022

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023