OLUSOLA ELIZABETH BALOGUN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061049

License Status

CANCELLED

Business

Title

First Name

OLUSOLA

Middle

ELIZABETH

Last Name

BALOGUN

Business Name

OLUSOLA ELIZABETH BALOGUN MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014