ERNEST ABIAMUWA NWANI OD Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

ERNEST

Middle

ABIAMUWA

Last Name

NWANI

Suffix

Business Name

ERNEST ABIAMUWA NWANI OD

Original Issue Date

12/20/1990

Effective Date

12/03/2012

Expiration Date

01/31/2015

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/09/2015