THOMAS K AGBEMAPLE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024512

License Status

EXPIRED

Business

First Name

THOMAS K

Last Name

AGBEMAPLE

Business Name

THOMAS K AGBEMAPLE

Original Issue Date

08/11/1989

Effective Date

08/11/1989

Expiration Date

07/01/1992

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006