BABATUNDE ADEWALE OLUMIDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

Title

First Name

BABATUNDE

Middle

ADEWALE

Last Name

OLUMIDE

Business Name

BABATUNDE ADEWALE OLUMIDE MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

09/30/2020

City

BRIDGETON

State

Zip

63044

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021