OMOKHUALE OMOKHODION MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

OMOKHUALE

Last Name

OMOKHODION

Business Name

OMOKHUALE OMOKHODION MD

Original Issue Date

12/18/2012

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SMYRNA

State

Zip

30080

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023