JAMES GYIAMI PREMPEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

GYIAMI

Last Name

PREMPEH

Suffix

Business Name

JAMES GYIAMI PREMPEH MD

Original Issue Date

06/24/2010

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014