License Directory

Mitsuo Fuwa Md

Expired

Illinois license 036046134

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036046134
Status
Expired (Not Renewed)
First issued
August 17, 1972
Expired
July 31, 2011
License holder
Mitsuo Fuwa Md
Entity type
Individual

Classifications

More from the license record

Current term began
07/15/2008

Other Illinois licenses under this name

  • IL
    Mitsuo Fuwa Md
    License 33*****90
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Chicago, IL
    Expired Jul 31, 2011

Contact

Chicago, IL 60614
Cook County