MODUPE A ADERIBIGBE Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****09

License Status

ACTIVE

Business

First Name

MODUPE

Middle

Last Name

ADERIBIGBE

Business Name

MODUPE A ADERIBIGBE

Original Issue Date

03/31/2011

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

SAINT LOUIS

State

Zip

63144

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/16/2025