NANA NKETIAH DWOMOH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042507

License Status

EXPIRED

Business

First Name

NANA

Middle

NKETIAH

Last Name

DWOMOH

Suffix

Business Name

NANA NKETIAH DWOMOH DO

Original Issue Date

06/19/2001

Effective Date

06/19/2001

Expiration Date

06/18/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006