KWASI PRAKAH-ASANTE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

KWASI

Last Name

PRAKAH-ASANTE

Business Name

KWASI PRAKAH-ASANTE

Original Issue Date

12/03/1997

Effective Date

12/03/1997

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008