OLUYEMISI J FATUNDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105441

License Status

NOT RENEWED

Business

First Name

OLUYEMISI

Middle

Last Name

FATUNDE

Suffix

Business Name

OLUYEMISI J FATUNDE MD

Original Issue Date

08/20/2001

Effective Date

08/20/2001

Expiration Date

07/31/2002

City

BALDWIN

State

Zip

11510

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006