OLUWAKEMI YETUNDE FAGBAMI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

OLUWAKEMI

Middle

YETUNDE

Last Name

FAGBAMI

Business Name

OLUWAKEMI YETUNDE FAGBAMI MD

Original Issue Date

03/30/2023

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023