MOYOSORE KIKELOMO ONIFADE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

CANCELLED

Business

First Name

MOYOSORE

Middle

KIKELOMO

Last Name

ONIFADE

Suffix

Business Name

MOYOSORE KIKELOMO ONIFADE MD

Original Issue Date

04/17/2003

Effective Date

04/17/2003

Expiration Date

07/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006