NATALIA E FUDIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098363

License Status

NOT RENEWED

Business

First Name

NATALIA

Middle

Last Name

FUDIM

Suffix

Business Name

NATALIA E FUDIM MD

Original Issue Date

07/17/1998

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

11/14/2011