OLUSOLA ELIZABETH BALOGUN MD - Medical Doctor License in Illinois | # 125061049

OLUSOLA ELIZABETH BALOGUN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061049

License Status

CANCELLED

Business

N

Title

MD

First Name

OLUSOLA

Middle

ELIZABETH

Last Name

BALOGUN

Business Name

OLUSOLA ELIZABETH BALOGUN MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

03/24/2014