IHEANYI C UWANAMODO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

IHEANYI C

Last Name

UWANAMODO

Business Name

IHEANYI C UWANAMODO

Original Issue Date

04/03/1995

Effective Date

04/03/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006