CARMEN T FOTSO KOUATCHOU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040034

License Status

EXPIRED

Business

Title

First Name

CARMEN

Middle

Last Name

FOTSO KOUATCHOU

Business Name

CARMEN T FOTSO KOUATCHOU MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006