NANA SARKOAH IVY FENNY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056418

License Status

CANCELLED

Business

Title

First Name

NANA SARKOAH

Middle

IVY

Last Name

FENNY

Business Name

NANA SARKOAH IVY FENNY MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/22/2009