HAROUN BABAJIDE OGUN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

HAROUN

Middle

BABAJIDE

Last Name

OGUN

Business Name

HAROUN BABAJIDE OGUN MD

Original Issue Date

02/08/2023

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023