IKENNA CHUKWUKADIBIA ERINNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

IKENNA

Middle

CHUKWUKADIBIA

Last Name

ERINNE

Business Name

IKENNA CHUKWUKADIBIA ERINNE MD

Original Issue Date

08/31/2023

Effective Date

08/31/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/31/2023