YETUNDE O BUCKNOR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

YETUNDE

Middle

Last Name

BUCKNOR

Business Name

YETUNDE O BUCKNOR

Original Issue Date

09/10/1999

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014