JOLAIYA OGUNNIYI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

JOLAIYA

Last Name

OGUNNIYI

Business Name

JOLAIYA OGUNNIYI MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

09/30/2020

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021