BANKOLE O BOTU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094148

License Status

NOT RENEWED

Business

First Name

BANKOLE O

Last Name

BOTU

Business Name

BANKOLE O BOTU

Original Issue Date

09/04/1996

Effective Date

09/04/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006