LILY A ODUKOYA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

NOT RENEWED

Business

First Name

LILY

Middle

Last Name

ODUKOYA

Business Name

LILY A ODUKOYA

Original Issue Date

12/21/2007

Effective Date

12/21/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

12/16/2010