CHISOM C.C EGWUATU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066374

License Status

EXPIRED

Business

Title

First Name

CHISOM

Middle

C.C

Last Name

EGWUATU

Business Name

CHISOM C.C EGWUATU MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/25/2018