AARON PATRICK OMOTOLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

AARON

Middle

PATRICK

Last Name

OMOTOLA

Business Name

AARON PATRICK OMOTOLA MD

Original Issue Date

05/06/2010

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023