KALU AWA UMA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040336

License Status

EXPIRED

Business

First Name

KALU

Middle

AWA

Last Name

UMA

Business Name

KALU AWA UMA

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

07/15/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006