NANA SARKOAH IVY FENNY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

NANA SARKOAH

Middle

IVY

Last Name

FENNY

Business Name

NANA SARKOAH IVY FENNY MD

Original Issue Date

03/27/2012

Effective Date

10/02/2023

Expiration Date

07/31/2026

City

BISMARCK

State

Zip

58503

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023