IGA ALICJA FUDYMA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084636

License Status

ACTIVE

Business

Title

First Name

IGA

Middle

ALICJA

Last Name

FUDYMA

Business Name

IGA ALICJA FUDYMA DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/17/2024