MARTINA ABENA TAMAKLOE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

MARTINA

Middle

ABENA

Last Name

TAMAKLOE

Suffix

Business Name

MARTINA ABENA TAMAKLOE MD

Original Issue Date

07/07/2006

Effective Date

07/07/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011