KWAME WIAFE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081022

License Status

EXPIRED

Business

Title

First Name

KWAME

Last Name

WIAFE

Business Name

KWAME WIAFE MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Vascular Surgery

Ever Disciplined

LastModifiedDate

03/25/2026