ALIKEM MIRIAM AGAMAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081529

License Status

EXPIRED

Business

Title

First Name

ALIKEM

Middle

MIRIAM

Last Name

AGAMAH

Business Name

ALIKEM MIRIAM AGAMAH MD

Original Issue Date

06/21/2023

Effective Date

06/21/2023

Expiration Date

06/20/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/30/2024