SHIRO URAYAMA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090553

License Status

INACTIVE

Business

First Name

SHIRO

Last Name

URAYAMA

Business Name

SHIRO URAYAMA

Original Issue Date

04/15/1995

Effective Date

04/15/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006