OLUWAFISAYO JEBUTU DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

Title

DDS

First Name

OLUWAFISAYO

Last Name

JEBUTU

Business Name

OLUWAFISAYO JEBUTU DDS

Original Issue Date

10/29/2023

Effective Date

09/08/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/08/2024