KWAME O GYASI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059660

License Status

CANCELLED

Business

Title

First Name

KWAME

Middle

Last Name

GYASI

Business Name

KWAME O GYASI MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

03/24/2014