CALEB IFEOLUWA OLUWADAMISI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076614

License Status

EXPIRED

Business

Title

First Name

CALEB

Middle

IFEOLUWA

Last Name

OLUWADAMISI

Business Name

CALEB IFEOLUWA OLUWADAMISI MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/06/2024