CHIZOBA JOAKIN EZEPUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

CHIZOBA

Middle

JOAKIN

Last Name

EZEPUE

Suffix

Business Name

CHIZOBA JOAKIN EZEPUE MD

Original Issue Date

03/13/2019

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63112

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023