WURAOLA IBIYEMI OMOTOSHO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

WURAOLA

Middle

IBIYEMI

Last Name

OMOTOSHO

Suffix

Business Name

WURAOLA IBIYEMI OMOTOSHO MD

Original Issue Date

04/07/2010

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

MATTESON

State

Zip

60443

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023