GRACE BOLANLE AYANDIBU MD Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178007242

License Status

NOT RENEWED

Business

Title

First Name

GRACE

Middle

BOLANLE

Last Name

AYANDIBU

Business Name

GRACE BOLANLE AYANDIBU MD

Original Issue Date

03/16/2011

Effective Date

03/09/2015

Expiration Date

03/31/2017

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017