AGBOOLA O AWOMOLO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060882

License Status

EXPIRED

Business

First Name

AGBOOLA

Middle

Last Name

AWOMOLO

Business Name

AGBOOLA O AWOMOLO

Original Issue Date

06/27/2012

Effective Date

06/27/2012

Expiration Date

06/26/2013

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/07/2013