ABIMBOLA Y AWODIPE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

ABIMBOLA

Middle

Last Name

AWODIPE

Business Name

ABIMBOLA Y AWODIPE

Original Issue Date

07/22/1999

Effective Date

07/22/1999

Expiration Date

07/31/2005

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006