ADWOA MANU-BOATENG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062342

License Status

EXPIRED

Business

First Name

ADWOA

Last Name

MANU-BOATENG

Suffix

Business Name

ADWOA MANU-BOATENG MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/04/2015