AKUA BIRAGO NTIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123229

License Status

NOT RENEWED

Business

First Name

AKUA

Middle

BIRAGO

Last Name

NTIM

Suffix

Business Name

AKUA BIRAGO NTIM MD

Original Issue Date

04/21/2009

Effective Date

04/21/2009

Expiration Date

07/31/2011

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011