OKOSUN EHIMARE EDORO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

OKOSUN

Middle

EHIMARE

Last Name

EDORO

Suffix

Business Name

OKOSUN EHIMARE EDORO MD

Original Issue Date

03/16/2004

Effective Date

03/16/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006