PHILIPPE FERNAND NYEMBO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

PHILIPPE

Middle

FERNAND

Last Name

NYEMBO

Business Name

PHILIPPE FERNAND NYEMBO MD

Original Issue Date

03/26/2024

Effective Date

03/26/2024

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/26/2024