CHARLES EDOIGIAWERIE 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

CHARLES

Last Name

EDOIGIAWERIE

Suffix

Business Name

CHARLES EDOIGIAWERIE MD

Original Issue Date

09/07/1999

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60653

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023