FUNMINIYI ANNE AJAYI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

FUNMINIYI

Middle

ANNE

Last Name

AJAYI

Business Name

FUNMINIYI ANNE AJAYI MD

Original Issue Date

11/12/2014

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023