THOMAS K AGBEMAPLE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083917

License Status

NOT RENEWED

Business

First Name

THOMAS K

Last Name

AGBEMAPLE

Business Name

THOMAS K AGBEMAPLE

Original Issue Date

01/14/1992

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

11/06/2008