BERNARD M AGBEMADZO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099599

License Status

NOT RENEWED

Business

First Name

BERNARD

Middle

Last Name

AGBEMADZO

Business Name

BERNARD M AGBEMADZO

Original Issue Date

02/05/1999

Effective Date

02/05/1999

Expiration Date

07/31/2005

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006