YAA B OWUSU-BANAHENE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073707

License Status

EXPIRED

Business

Title

First Name

YAA

Middle

Last Name

OWUSU-BANAHENE

Business Name

YAA B OWUSU-BANAHENE DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022