MELANIE FUKUI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

MELANIE

Last Name

FUKUI

Business Name

MELANIE FUKUI MD

Original Issue Date

03/07/2022

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

WINNETKA

State

Zip

60093

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023