NIYI ADEWALE SOETAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

NIYI

Middle

ADEWALE

Last Name

SOETAN

Business Name

NIYI ADEWALE SOETAN MD

Original Issue Date

12/11/2024

Effective Date

12/11/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/11/2024