AMA A FORDWOR-KORANTENG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

AMA

Middle

Last Name

FORDWOR-KORANTENG

Suffix

Business Name

AMA A FORDWOR-KORANTENG MD

Original Issue Date

03/17/2000

Effective Date

03/17/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020