OLACHI JOY MEZU-NDUBUISI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

Title

First Name

OLACHI

Middle

JOY

Last Name

MEZU-NDUBUISI

Business Name

OLACHI JOY MEZU-NDUBUISI MD

Original Issue Date

04/18/2011

Effective Date

06/03/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61104

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023