BISOLA RACHEAL BABATUNDE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083562

License Status

CANCELLED

Business

Title

First Name

BISOLA

Middle

RACHEAL

Last Name

BABATUNDE

Business Name

BISOLA RACHEAL BABATUNDE MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

ALTON

State

Zip

62002

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/09/2024