KEHINDE MOSKURI GANIYU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068226

License Status

NOT RENEWED

Business

Title

First Name

KEHINDE

Middle

MOSKURI

Last Name

GANIYU

Business Name

KEHINDE MOSKURI GANIYU MD

Original Issue Date

02/01/1984

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1998010338

Action

Suspension

Discipline Start Date

09/14/1998

Discipline End Date

02/11/1999

Discipline Reason

Failing to pay taxes.