BANKOLE O BOTU 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

First Name

BANKOLE O

Last Name

BOTU

Business Name

BANKOLE O BOTU

Original Issue Date

11/14/1996

Effective Date

11/14/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006