THEODORE LORD LAWEH AGBEMAPLE MD - Medical Doctor License in Illinois | # 125084775

THEODORE LORD LAWEH AGBEMAPLE MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084775

License Status

ACTIVE

Business

N

Title

MD

First Name

THEODORE

Middle

LORD LAWEH

Last Name

AGBEMAPLE

Business Name

THEODORE LORD LAWEH AGBEMAPLE MD

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

06/24/2027

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

05/24/2024