VICTORIA OLUWAKEMI FAMUYIDE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

VICTORIA

Middle

OLUWAKEMI

Last Name

FAMUYIDE

Business Name

VICTORIA OLUWAKEMI FAMUYIDE DO

Original Issue Date

10/16/2018

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023