SAMUEL ADEKIYA ADESOBA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

SAMUEL ADEKIYA

Last Name

ADESOBA

Business Name

SAMUEL ADEKIYA ADESOBA

Original Issue Date

07/15/1998

Effective Date

07/15/1998

Expiration Date

07/31/1999

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006