ADEBOWALE A OBAITAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037246

License Status

EXPIRED

Business

First Name

ADEBOWALE

Middle

Last Name

OBAITAN

Suffix

Business Name

ADEBOWALE A OBAITAN MD

Original Issue Date

10/30/1997

Effective Date

10/30/1997

Expiration Date

10/29/2000

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006