KELVIN DALLAS VISUTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152248

License Status

ACTIVE

Business

Title

First Name

KELVIN

Middle

DALLAS

Last Name

VISUTH

Business Name

KELVIN DALLAS VISUTH MD

Original Issue Date

03/19/2020

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023