KOLADE KEHINDE OBAJULUWA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

KOLADE

Middle

KEHINDE

Last Name

OBAJULUWA

Business Name

KOLADE KEHINDE OBAJULUWA

Original Issue Date

01/06/2011

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

BRONX

State

Zip

10459

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

11/17/2014