TOLULOPE OMOBONI OYEDIRAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

TOLULOPE

Middle

OMOBONI

Last Name

OYEDIRAN

Business Name

TOLULOPE OMOBONI OYEDIRAN

Original Issue Date

07/23/2012

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018