OLULEKE JEBODA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

OLULEKE

Last Name

JEBODA

Suffix

DMD

Business Name

OLULEKE JEBODA DMD

Original Issue Date

08/28/2007

Effective Date

08/11/2015

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/31/2018