BOLANLE M FAMAKIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145016

License Status

ACTIVE

Business

Title

First Name

BOLANLE

Middle

Last Name

FAMAKIN

Business Name

BOLANLE M FAMAKIN MD

Original Issue Date

01/31/2018

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53705

Ever Disciplined

LastModifiedDate

06/29/2023