OLAYEMI OLATOUN CHAMPION-ODUSOLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051108

License Status

EXPIRED

Business

Title

First Name

OLAYEMI

Middle

OLATOUN

Last Name

CHAMPION-ODUSOLA

Business Name

OLAYEMI OLATOUN CHAMPION-ODUSOLA MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/15/2009