AYODEJI B OTEGBEYE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017462

License Status

EXPIRED

Business

First Name

AYODEJI B

Last Name

OTEGBEYE

Suffix

Business Name

AYODEJI B OTEGBEYE MD

Original Issue Date

07/10/1984

Effective Date

07/10/1984

Expiration Date

08/15/1986

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006