AKUA BIRAGO NTIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051759

License Status

CANCELLED

Business

First Name

AKUA

Middle

BIRAGO

Last Name

NTIM

Suffix

Business Name

AKUA BIRAGO NTIM MD

Original Issue Date

06/26/2006

Effective Date

06/26/2006

Expiration Date

06/25/2009

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006