OLUSEGUN AEDKUNLE ISHMAEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

OLUSEGUN

Middle

AEDKUNLE

Last Name

ISHMAEL

Suffix

Business Name

OLUSEGUN AEDKUNLE ISHMAEL MD

Original Issue Date

07/21/2010

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

SHAKER HEIGHTS

State

Zip

44122

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023