FEYISAYO A ANIFOWOSE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

Title

DDS

First Name

FEYISAYO

Middle

Last Name

ANIFOWOSE

Business Name

FEYISAYO A ANIFOWOSE DDS

Original Issue Date

12/21/2022

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

EAST SAINT LOUIS

State

Zip

62205

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/01/2024