NNANEME C MGBODILLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

NNANEME

Middle

Last Name

MGBODILLE

Suffix

Business Name

NNANEME C MGBODILLE MD

Original Issue Date

05/11/2001

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023