ADEDOYIN G AKINTIDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

ADEDOYIN

Middle

Last Name

AKINTIDE

Business Name

ADEDOYIN G AKINTIDE MD

Original Issue Date

10/04/2016

Effective Date

10/04/2016

Expiration Date

07/31/2017

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017