License holder summary

OGUNNIYI, MODELE O is a Medical - Resident Physician licensed to practice in Georgia. The address on file for OGUNNIYI, MODELE O is 1575 GLENHAVEN WAY, Lawrenceville 30043. This doctor license is not current. The license was granted 09/03/2004 and expired on 06/30/2006.

Georgia

Composite Medical Board

OGUNNIYI, MODELE O
Medical - Resident Physician
License number
001100
Date granted
09/03/2004
Date expires
06/30/2006
Class
Medical - Resident Physician
Status
Lapsed
Address
1575 GLENHAVEN WAY
georgiadoctors.net
ID 38119092
LAST UPDATED 2024-04-24 07:42:33 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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