KWABENA A BOATENG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

KWABENA

Middle

Last Name

BOATENG

Suffix

Business Name

KWABENA A BOATENG MD

Original Issue Date

07/27/1992

Effective Date

08/02/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60431

County

WILL

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

08/02/2023