OMOBOLAWA YESIDE KUKOYI 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

OMOBOLAWA

Middle

YESIDE

Last Name

KUKOYI

Business Name

OMOBOLAWA YESIDE KUKOYI MD

Original Issue Date

05/09/2018

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023