FAREEDAT OLUWATOSIN OLUYADI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

FAREEDAT

Middle

OLUWATOSIN

Last Name

OLUYADI

Business Name

FAREEDAT OLUWATOSIN OLUYADI MD

Original Issue Date

06/05/2019

Effective Date

06/05/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021