ADEBOWALE TOLULADE ADESIDA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****34

License Status

ACTIVE

Business

First Name

ADEBOWALE

Middle

TOLULADE

Last Name

ADESIDA

Business Name

ADEBOWALE TOLULADE ADESIDA

Original Issue Date

08/11/2023

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026