IBUKUNOLUWA ADELEKE OSISANYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

Title

First Name

IBUKUNOLUWA

Middle

ADELEKE

Last Name

OSISANYA

Business Name

IBUKUNOLUWA ADELEKE OSISANYA MD

Original Issue Date

09/04/2014

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023