PHYLLIS AMPONSAA NSIAH-KUMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

AMPONSAA

Last Name

NSIAH-KUMI

Suffix

Business Name

PHYLLIS AMPONSAA NSIAH-KUMI MD

Original Issue Date

07/14/2005

Effective Date

07/14/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008