MWIA ODESSA MUTUA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145395

License Status

ACTIVE

Business

Title

First Name

MWIA

Middle

ODESSA

Last Name

MUTUA

Business Name

MWIA ODESSA MUTUA MD

Original Issue Date

03/21/2018

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2023