TIMOTHY O ADESANYA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

ADESANYA

Business Name

TIMOTHY O ADESANYA

Original Issue Date

09/26/2012

Effective Date

02/07/2026

Expiration Date

03/01/2028

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

02/07/2026