FARAI EUNICE CHIWOCHA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074346

License Status

EXPIRED

Business

First Name

FARAI

Middle

EUNICE

Last Name

CHIWOCHA

Business Name

FARAI EUNICE CHIWOCHA

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020