BAMIDELE A EKUNSANMI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

BAMIDELE A

Last Name

EKUNSANMI

Business Name

BAMIDELE A EKUNSANMI

Original Issue Date

06/15/2023

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

ROCK HILL

State

Zip

29732

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2022