FADEE KUTOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156934

License Status

NOT RENEWED

Business

Title

First Name

FADEE

Last Name

KUTOM

Business Name

FADEE KUTOM MD

Original Issue Date

05/13/2021

Effective Date

05/13/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

11/30/2023