FADEE KUTOM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072953

License Status

CANCELLED

Business

Title

First Name

FADEE

Last Name

KUTOM

Business Name

FADEE KUTOM MD

Original Issue Date

06/27/2019

Effective Date

06/27/2019

Expiration Date

06/26/2021

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/25/2019