NOMATE T KPEA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017548

License Status

EXPIRED

Business

First Name

NOMATE

Middle

Last Name

KPEA

Business Name

NOMATE T KPEA

Original Issue Date

07/17/1984

Effective Date

07/17/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006