ROME JUTABHA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020652

License Status

EXPIRED

Business

First Name

ROME

Last Name

JUTABHA

Suffix

Business Name

ROME JUTABHA MD

Original Issue Date

05/02/1987

Effective Date

05/02/1987

Expiration Date

06/23/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006