MARISA ANN AKINBOLA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****80

License Status

NOT RENEWED

Business

First Name

MARISA

Middle

ANN

Last Name

AKINBOLA

Business Name

MARISA ANN AKINBOLA

Original Issue Date

07/28/2017

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022