KANAYO K ODELUGA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

KANAYO K

Last Name

ODELUGA

Business Name

KANAYO K ODELUGA

Original Issue Date

07/19/1996

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

MUNSTER

State

Zip

46321

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023