MODUPE A OLADEINDE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112349

License Status

ACTIVE

Business

First Name

MODUPE

Middle

Last Name

OLADEINDE

Business Name

MODUPE A OLADEINDE

Original Issue Date

09/15/2004

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

05/16/2023