License holder summary

Shamusideen Olayibo Ogbulu is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shamusideen Olayibo Ogbulu is Elkhart Clinic, LLC, 303 South Nappanee Street, Elkhart IN 46514. This licensed professional license is not current. The license was granted 09/04/2008 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Shamusideen Olayibo Ogbulu
Controlled Substance Registration - Physician
License number
01065806B
Date granted
09/04/2008
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Elkhart Clinic, LLC, 303 South Nappanee Street, Elkhart IN 46514
indianalicensing.org
ID 5848433
LAST UPDATED 2024-03-19 21:11:22 UTC

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