ENIOLA A OWI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

ENIOLA A

Last Name

OWI

Suffix

Business Name

ENIOLA A OWI MD

Original Issue Date

08/29/1988

Effective Date

08/29/1988

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006