MARK TSUNEO WAKABAYASHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102402

License Status

NOT RENEWED

Business

First Name

MARK

Middle

TSUNEO

Last Name

WAKABAYASHI

Suffix

Business Name

MARK TSUNEO WAKABAYASHI MD

Original Issue Date

05/02/2000

Effective Date

05/02/2000

Expiration Date

07/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006