AMA A FORDWOR-KORANTENG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

AMA

Middle

Last Name

FORDWOR-KORANTENG

Suffix

Business Name

AMA A FORDWOR-KORANTENG MD

Original Issue Date

09/09/2003

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

WILLOWBROOK

State

Zip

60527

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023