ANOTA NWEJENGOH AKOFU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

ANOTA

Middle

NWEJENGOH

Last Name

AKOFU

Suffix

Business Name

ANOTA NWEJENGOH AKOFU MD

Original Issue Date

06/23/2016

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023