Medical Doctor
LICENSED PHYSICIAN CONTROLLED SUBSTANCE
33*****66
NOT RENEWED
N
DO
OLAKUMBI
BASIRAT
OTULANA
OLAKUMBI BASIRAT OTULANA DO
06/28/2017
09/17/2020
07/31/2023
SPRINGFIELD
IL
62769
SANGAMON
PRACTITIONER
II III IV V
11/30/2023