FRI NGUM AWASUM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066053

License Status

EXPIRED

Business

Title

First Name

FRI

Middle

NGUM

Last Name

AWASUM

Business Name

FRI NGUM AWASUM MD

Original Issue Date

07/10/2014

Effective Date

07/10/2014

Expiration Date

07/09/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/19/2017