EMMANUEL OLUSOJI OLUBIYI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004549

License Status

NOT RENEWED

Business

First Name

EMMANUEL

Middle

OLUSOJI

Last Name

OLUBIYI

Business Name

EMMANUEL OLUSOJI OLUBIYI

Original Issue Date

11/01/2012

Effective Date

11/01/2012

Expiration Date

03/01/2014

City

SPRINGFIELD

State

Zip

62704

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/24/2018