ADEYEMI O FATOKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

ADEYEMI

Middle

Last Name

FATOKI

Suffix

Business Name

ADEYEMI O FATOKI MD

Original Issue Date

08/13/2008

Effective Date

07/09/2014

Expiration Date

07/31/2017

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020