THEODORE LORD LAWEH AGBEMAPLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084775

License Status

ACTIVE

Business

Title

First Name

THEODORE

Middle

LORD LAWEH

Last Name

AGBEMAPLE

Business Name

THEODORE LORD LAWEH AGBEMAPLE MD

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

06/24/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/24/2024