MICHAEL BABATUNDE OWOLABI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065792

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

BABATUNDE

Last Name

OWOLABI

Business Name

MICHAEL BABATUNDE OWOLABI MD

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

06/25/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/05/2014