IKENNA EREM OBASI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

IKENNA

Middle

EREM

Last Name

OBASI

Business Name

IKENNA EREM OBASI MD

Original Issue Date

12/27/2018

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

LEWISVILLE

State

Zip

27023

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023