OLUSOLA ELIZABETH BALOGUN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

Title

First Name

OLUSOLA

Middle

ELIZABETH

Last Name

BALOGUN

Business Name

OLUSOLA ELIZABETH BALOGUN MD

Original Issue Date

03/04/2015

Effective Date

03/04/2015

Expiration Date

07/31/2017

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017