FEYINTOLU M BALOGUN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

Title

DPM

First Name

FEYINTOLU

Middle

Last Name

BALOGUN

Business Name

FEYINTOLU M BALOGUN DPM

Original Issue Date

03/16/2020

Effective Date

03/16/2020

Expiration Date

01/31/2021

City

PARMA HEIGHTS

State

Zip

44130

County

OHIO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021