EDWARD SHINGO OGATA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054645

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

SHINGO

Last Name

OGATA

Suffix

Business Name

EDWARD SHINGO OGATA MD

Original Issue Date

06/09/1977

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017