FORTUNEE MASSUDA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003113

License Status

NOT RENEWED

Business

First Name

FORTUNEE

Last Name

MASSUDA

Business Name

FORTUNEE MASSUDA

Original Issue Date

06/23/1980

Effective Date

11/08/2020

Expiration Date

01/31/2023

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2023