FITSUM KUMSSA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

FITSUM

Last Name

KUMSSA

Business Name

FITSUM KUMSSA MD

Original Issue Date

10/03/2019

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023