ONISURU TEMISAN OKOTIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

ONISURU

Middle

TEMISAN

Last Name

OKOTIE

Suffix

Business Name

ONISURU TEMISAN OKOTIE MD

Original Issue Date

04/25/2007

Effective Date

12/18/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011