ABIOLA O FAMILUSI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151927

License Status

NOT RENEWED

Business

Title

First Name

ABIOLA

Middle

Last Name

FAMILUSI

Business Name

ABIOLA O FAMILUSI MD

Original Issue Date

02/24/2020

Effective Date

02/24/2020

Expiration Date

09/30/2020

City

HUNTINGTON

State

Zip

11743

Ever Disciplined

LastModifiedDate

01/14/2021