AUGUSTINE KANAYO NNADI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

AUGUSTINE

Middle

KANAYO

Last Name

NNADI

Business Name

AUGUSTINE KANAYO NNADI MD

Original Issue Date

07/10/2014

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

GRANGER

State

Zip

46530

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023