EDEM STEFANO K AGAMAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025919

License Status

EXPIRED

Business

First Name

EDEM STEFANO K

Last Name

AGAMAH

Business Name

EDEM STEFANO K AGAMAH

Original Issue Date

07/18/1990

Effective Date

07/18/1990

Expiration Date

07/10/1993

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006