ODULOLA I ODUSANYA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031862

License Status

EXPIRED

Business

First Name

ODULOLA I

Last Name

ODUSANYA

Suffix

Business Name

ODULOLA I ODUSANYA MD

Original Issue Date

06/16/1994

Effective Date

06/16/1994

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006