OLAYEMI OLATOUN CHAMPION-ODUSOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

OLAYEMI

Middle

OLATOUN

Last Name

CHAMPION-ODUSOLA

Business Name

OLAYEMI OLATOUN CHAMPION-ODUSOLA MD

Original Issue Date

05/12/2009

Effective Date

05/12/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011