OLUMUYIWA ROTIMI JOSHUA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

OLUMUYIWA

Middle

ROTIMI

Last Name

JOSHUA

Suffix

Business Name

OLUMUYIWA ROTIMI JOSHUA MD

Original Issue Date

04/11/2003

Effective Date

04/11/2003

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008