ADEYEMI O FATOKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

ADEYEMI

Middle

Last Name

FATOKI

Suffix

Business Name

ADEYEMI O FATOKI MD

Original Issue Date

07/26/1996

Effective Date

07/09/2014

Expiration Date

07/31/2017

City

OREGON

State

Zip

61061

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020