KOLADE KEHINDE OBAJULUWA 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

KOLADE

Middle

KEHINDE

Last Name

OBAJULUWA

Business Name

KOLADE KEHINDE OBAJULUWA

Original Issue Date

07/19/2011

Effective Date

07/19/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014