ODULOLA I ODUSANYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

ODULOLA I

Last Name

ODUSANYA

Suffix

Business Name

ODULOLA I ODUSANYA MD

Original Issue Date

11/22/1996

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023