OSARETIN B IDUSUYI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

OSARETIN B

Last Name

IDUSUYI

Business Name

OSARETIN B IDUSUYI

Original Issue Date

07/09/1997

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023