OLAWUNMI OLAITAN OGUNKELU Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

OLAWUNMI

Middle

OLAITAN

Last Name

OGUNKELU

Business Name

OLAWUNMI OLAITAN OGUNKELU

Original Issue Date

11/17/2006

Effective Date

06/01/2012

Expiration Date

09/30/2015

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016