FAITHFUL O OSAWE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****22

NOT RENEWED

N

MD

FAITHFUL

O

OSAWE

FAITHFUL O OSAWE MD

03/27/2017

07/07/2020

07/31/2023

OLYMPIA FIELDS

IL

60461

COOK

PRACTITIONER

II III IV V

N

11/30/2023