TOMIKO FUKUDA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043930

License Status

CANCELLED

Business

First Name

TOMIKO

Last Name

FUKUDA

Business Name

TOMIKO FUKUDA

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

06/17/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006