Taliat Abiodun Fawole
ActiveMichigan license EMC0007802
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0007802
- Status
- Active
- First issued
- August 13, 2025
- Expires
- August 13, 2028
- License holder
- Taliat Abiodun Fawole
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
16112 Decatur Street
Omaha, NE 68118
Omaha, NE 68118