FUNLOLA IBIMINA FAMUYIWA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121699

License Status

NOT RENEWED

Business

First Name

FUNLOLA

Middle

IBIMINA

Last Name

FAMUYIWA

Suffix

Business Name

FUNLOLA IBIMINA FAMUYIWA MD

Original Issue Date

08/07/2008

Effective Date

08/07/2008

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011