ODULOLA I ODUSANYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094411

License Status

ACTIVE

Business

First Name

ODULOLA I

Last Name

ODUSANYA

Suffix

Business Name

ODULOLA I ODUSANYA MD

Original Issue Date

10/22/1996

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2023