License holder summary

Adesola Omotayo Fabayo is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Adesola Omotayo Fabayo is METHODIST HOSPITALS INC, 600 GRANT STREET, GARY IN 46402. This licensed professional license is not current. The license was granted 08/11/1998 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Adesola Omotayo Fabayo
Controlled Substance Registration - Physician
License number
01049201B
Date granted
08/11/1998
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
METHODIST HOSPITALS INC, 600 GRANT STREET, GARY IN 46402
indianalicensing.org
ID 5856069
LAST UPDATED 2024-02-27 22:53:49 UTC

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