ADA TOLUTOPE AGIDI MD - Medical Doctor License in Illinois | # 125073156

ADA TOLUTOPE AGIDI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073156

License Status

EXPIRED

Business

N

Title

MD

First Name

ADA

Middle

TOLUTOPE

Last Name

AGIDI

Business Name

ADA TOLUTOPE AGIDI MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

State

IL

Specialty/Qualifier

Dermatology

Ever Disciplined

N

LastModifiedDate

10/11/2022