ISIMENMEN TIWALOLA OKEKUMATA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079128

License Status

EXPIRED

Business

Title

First Name

ISIMENMEN

Middle

TIWALOLA

Last Name

OKEKUMATA

Business Name

ISIMENMEN TIWALOLA OKEKUMATA MD

Original Issue Date

07/06/2021

Effective Date

07/06/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024