YETUNDE OMOLARA FATUNDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

YETUNDE

Middle

OMOLARA

Last Name

FATUNDE

Suffix

Business Name

YETUNDE OMOLARA FATUNDE MD

Original Issue Date

11/25/2015

Effective Date

11/25/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017