CHADD JOSEPH SUKUT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051629

License Status

CANCELLED

Business

First Name

CHADD

Middle

JOSEPH

Last Name

SUKUT

Suffix

Business Name

CHADD JOSEPH SUKUT MD

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

06/24/2010

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

04/01/2009