KOFI S AMANKWAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

KOFI S

Last Name

AMANKWAH

Suffix

Business Name

KOFI S AMANKWAH MD

Original Issue Date

07/12/2002

Effective Date

07/12/2002

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008