AKPENE S AGAMAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080714

License Status

CANCELLED

Business

Title

First Name

AKPENE

Middle

Last Name

AGAMAH

Prefix

Business Name

AKPENE S AGAMAH MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/26/2024