FADEE KUTOM MD - Pharmacist License in Illinois | # 049175791

FADEE KUTOM MD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175791

License Status

NOT RENEWED

Business

N

Title

MD

First Name

FADEE

Last Name

KUTOM

Business Name

FADEE KUTOM MD

Original Issue Date

04/23/2007

Effective Date

04/23/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008