KOLAWOLE OLUFEMI DOMINIK SOFOWORA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

KOLAWOLE

Middle

OLUFEMI DOMINIK

Last Name

SOFOWORA

Business Name

KOLAWOLE OLUFEMI DOMINIK SOFOWORA MD

Original Issue Date

03/21/2017

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60120

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023