FAHRETTIN COVUT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163788

License Status

ACTIVE

Business

Title

First Name

FAHRETTIN

Last Name

COVUT

Business Name

FAHRETTIN COVUT MD

Original Issue Date

02/24/2023

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/27/2023