OLUMIDE AYODEJI FANIYAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149865

License Status

ACTIVE

Business

Title

First Name

OLUMIDE

Middle

AYODEJI

Last Name

FANIYAN

Business Name

OLUMIDE AYODEJI FANIYAN MD

Original Issue Date

06/20/2019

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

06/14/2023