KENNETH IMANAKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063611

License Status

NOT RENEWED

Business

First Name

KENNETH

Last Name

IMANAKA

Suffix

Business Name

KENNETH IMANAKA MD

Original Issue Date

12/03/1981

Effective Date

12/03/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006