WAHEED ADEWALE ADEWUMI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

CANCELLED

Business

First Name

WAHEED

Middle

ADEWALE

Last Name

ADEWUMI

Suffix

Business Name

WAHEED ADEWALE ADEWUMI MD

Original Issue Date

02/25/1999

Effective Date

02/25/1999

Expiration Date

07/31/2005

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006