OBAFEMI OLUMIDE ADENUGA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

Title

DDS

First Name

OBAFEMI

Middle

OLUMIDE

Last Name

ADENUGA

Business Name

OBAFEMI OLUMIDE ADENUGA DDS

Original Issue Date

07/07/2011

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/09/2022