TAWANDA GALE ADESHINA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040850

License Status

CANCELLED

Business

First Name

TAWANDA

Middle

GALE

Last Name

ADESHINA

Suffix

Business Name

TAWANDA GALE ADESHINA MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006