MODUPE A OLADEINDE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

CANCELLED

Business

First Name

MODUPE

Middle

Last Name

OLADEINDE

Business Name

MODUPE A OLADEINDE

Original Issue Date

10/05/2004

Effective Date

06/11/2008

Expiration Date

07/31/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020