STANLEY CHIDIEBERE EZIUKWU 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

Title

First Name

STANLEY

Middle

CHIDIEBERE

Last Name

EZIUKWU

Business Name

STANLEY CHIDIEBERE EZIUKWU MD

Original Issue Date

12/11/2024

Effective Date

12/11/2024

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/11/2024