SETH O FAGBEMI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

SETH O

Last Name

FAGBEMI

Business Name

SETH O FAGBEMI

Original Issue Date

03/07/1994

Effective Date

03/07/1994

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006