DANIEL ENYINNAYA NWANKWO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

ENYINNAYA

Last Name

NWANKWO

Business Name

DANIEL ENYINNAYA NWANKWO MD

Original Issue Date

08/05/2020

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

FORT WAYNE

State

Zip

46845

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023