AKPENE S AGAMAH MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225485

License Status

NOT RENEWED

Business

Title

First Name

AKPENE

Middle

Last Name

AGAMAH

Prefix

Business Name

AKPENE S AGAMAH MD

Original Issue Date

05/28/2014

Effective Date

05/28/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015