OLAMIDE PETER TAIWO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005758

License Status

ACTIVE

Business

First Name

OLAMIDE

Middle

PETER

Last Name

TAIWO

Business Name

OLAMIDE PETER TAIWO

Original Issue Date

01/14/2016

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2025