NANA BOAHENE KWABENA YEBOAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

Title

DDS

First Name

NANA BOAHENE

Middle

KWABENA

Last Name

YEBOAH

Business Name

NANA BOAHENE KWABENA YEBOAH DDS

Original Issue Date

07/27/2011

Effective Date

07/27/2011

Expiration Date

09/30/2012

City

KENOSHA

State

Zip

53144

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012