FUNMILAYO TADE ADEWALE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

FUNMILAYO

Last Name

TADE ADEWALE

Business Name

FUNMILAYO TADE ADEWALE MD

Original Issue Date

07/24/2024

Effective Date

07/24/2024

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2024