FADEE KUTOM MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175791

License Status

NOT RENEWED

Business

Title

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

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008