TAKASHI NISHIDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051038

License Status

ACTIVE

Business

First Name

TAKASHI

Last Name

NISHIDA

Suffix

Business Name

TAKASHI NISHIDA MD

Original Issue Date

05/22/1975

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

WILLOWBROOK

State

Zip

60527

Ever Disciplined

LastModifiedDate

06/07/2023