BOLANLE SOYANNWO BALOGUN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050213

License Status

EXPIRED

Business

Title

First Name

BOLANLE

Last Name

SOYANNWO BALOGUN

Business Name

BOLANLE SOYANNWO BALOGUN MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60623

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/31/2008