JOSEPH BREFO AGYEN JR DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000954

License Status

EXPIRED

Business

Title

DPM

First Name

JOSEPH

Middle

BREFO

Last Name

AGYEN

Suffix

Business Name

JOSEPH BREFO AGYEN JR DPM

Original Issue Date

06/02/2017

Effective Date

06/25/2017

Expiration Date

06/24/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/19/2020