THOMAS OLAIDE OSINOWO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

CANCELLED

Business

First Name

THOMAS

Middle

OLAIDE

Last Name

OSINOWO

Business Name

THOMAS OLAIDE OSINOWO

Original Issue Date

02/13/2002

Effective Date

02/13/2002

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006