CARMEN T FOTSO KOUATCHOU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

CARMEN

Middle

Last Name

FOTSO KOUATCHOU

Business Name

CARMEN T FOTSO KOUATCHOU MD

Original Issue Date

07/19/2002

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

WEST DUNDEE

State

Zip

60118

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023