LILIAN OLUBUKOLA EBUOMA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

Title

First Name

LILIAN

Middle

OLUBUKOLA

Last Name

EBUOMA

Business Name

LILIAN OLUBUKOLA EBUOMA MD

Original Issue Date

09/16/2021

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023