SUCCESS NGWASIRI NCHOTU Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

ACTIVE

Business

First Name

SUCCESS

Middle

NGWASIRI

Last Name

NCHOTU

Business Name

SUCCESS NGWASIRI NCHOTU

Original Issue Date

09/26/2022

Effective Date

03/05/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025