KEHINDE MOSKURI GANIYU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

KEHINDE

Middle

MOSKURI

Last Name

GANIYU

Business Name

KEHINDE MOSKURI GANIYU MD

Original Issue Date

05/09/1984

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021