OLATUBOSUN NKEM DENNIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

OLATUBOSUN

Middle

NKEM

Last Name

DENNIS

Business Name

OLATUBOSUN NKEM DENNIS MD

Original Issue Date

07/30/2014

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023