JEFFREY L KISHIYAMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080942

License Status

NOT RENEWED

Business

First Name

JEFFREY L

Last Name

KISHIYAMA

Suffix

Business Name

JEFFREY L KISHIYAMA MD

Original Issue Date

07/10/1990

Effective Date

07/10/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006