OSASUMWEN O OSAYIMWEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

OSASUMWEN

Middle

Last Name

OSAYIMWEN

Business Name

OSASUMWEN O OSAYIMWEN MD

Original Issue Date

06/17/2008

Effective Date

06/11/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2023