LEA FUCYDZY KIOUTAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054274

License Status

ACTIVE

Business

First Name

LEA

Middle

FUCYDZY

Last Name

KIOUTAS

Suffix

Business Name

LEA FUCYDZY KIOUTAS MD

Original Issue Date

03/11/1977

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

HUNTLEY

State

Zip

60142

County

KANE

Ever Disciplined

LastModifiedDate

04/11/2023