FUNMILAYO TADE ADEWALE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072343

License Status

CANCELLED

Business

Title

First Name

FUNMILAYO

Last Name

TADE ADEWALE

Business Name

FUNMILAYO TADE ADEWALE MD

Original Issue Date

10/16/2018

Effective Date

10/16/2018

Expiration Date

06/30/2021

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/16/2018