AKUA BIRAGO NTIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

AKUA

Middle

BIRAGO

Last Name

NTIM

Suffix

Business Name

AKUA BIRAGO NTIM MD

Original Issue Date

04/28/2009

Effective Date

04/28/2009

Expiration Date

07/31/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011