GRACE BOLANLE AYANDIBU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161490

License Status

ACTIVE

Business

Title

First Name

GRACE

Middle

BOLANLE

Last Name

AYANDIBU

Business Name

GRACE BOLANLE AYANDIBU MD

Original Issue Date

07/18/2022

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023