EDEM STEFANO K AGAMAH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085000

License Status

ACTIVE

Business

First Name

EDEM STEFANO K

Last Name

AGAMAH

Business Name

EDEM STEFANO K AGAMAH

Original Issue Date

07/23/1992

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/18/2023