DAMILOLA EWONUBARI OLUPONA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058556

License Status

EXPIRED

Business

First Name

DAMILOLA

Middle

EWONUBARI

Last Name

OLUPONA

Suffix

Business Name

DAMILOLA EWONUBARI OLUPONA DO

Original Issue Date

07/27/2010

Effective Date

07/27/2010

Expiration Date

07/26/2013

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

10/07/2013