OLAMIDE PETER TAIWO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

ACTIVE

Business

First Name

OLAMIDE

Middle

PETER

Last Name

TAIWO

Business Name

OLAMIDE PETER TAIWO

Original Issue Date

03/09/2016

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

12/05/2025