BERNARD M AGBEMADZO - Medical Doctor License in Illinois | # 125035269

BERNARD M AGBEMADZO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035269

License Status

EXPIRED

Business

N

First Name

BERNARD

Middle

M

Last Name

AGBEMADZO

Business Name

BERNARD M AGBEMADZO

Original Issue Date

06/27/1996

Effective Date

06/27/1996

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006