MARC TAIWO AWOBULUYI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120045

License Status

ACTIVE

Business

First Name

MARC

Middle

TAIWO

Last Name

AWOBULUYI

Suffix

Business Name

MARC TAIWO AWOBULUYI MD

Original Issue Date

01/30/2008

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

COEUR D'ALENE

State

Zip

83814

Ever Disciplined

LastModifiedDate

07/11/2023