ADA TOLUTOPE AGIDI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073156

License Status

EXPIRED

Business

Title

First Name

ADA

Middle

TOLUTOPE

Last Name

AGIDI

Business Name

ADA TOLUTOPE AGIDI MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

10/11/2022