STEPHEN ASANTE BOATENG DO - Medical Doctor License in Illinois | # 125057621

STEPHEN ASANTE BOATENG DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057621

License Status

CANCELLED

Business

N

Title

DO

First Name

STEPHEN

Middle

ASANTE

Last Name

BOATENG

Business Name

STEPHEN ASANTE BOATENG DO

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

05/07/2010