AGNES M INTAN-YOGYA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012497

License Status

EXPIRED

Business

First Name

AGNES M

Last Name

INTAN-YOGYA

Suffix

Business Name

AGNES M INTAN-YOGYA MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

05/27/1983

City

OAK FOREST

State

Zip

60452

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

09/22/2006