VIVIAN N CHUKWUMA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077859

License Status

EXPIRED

Business

Title

First Name

VIVIAN

Middle

Last Name

CHUKWUMA

Business Name

VIVIAN N CHUKWUMA MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024