JOSEPH BREFO AGYEN JR DPM - Podiatrist License in Illinois | # 135000954

JOSEPH BREFO AGYEN JR DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000954

License Status

EXPIRED

Business

N

Title

DPM

First Name

JOSEPH

Middle

BREFO

Last Name

AGYEN

Suffix

JR

Business Name

JOSEPH BREFO AGYEN JR DPM

Original Issue Date

06/02/2017

Effective Date

06/25/2017

Expiration Date

06/24/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/19/2020