EMMANUEL A OSAGIEDE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

EMMANUEL

Middle

Last Name

OSAGIEDE

Suffix

Business Name

EMMANUEL A OSAGIEDE MD

Original Issue Date

02/19/2015

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

AVON

State

Zip

46123

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023