JAN L IWATA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105234

License Status

ACTIVE

Business

First Name

JAN L

Last Name

IWATA

Business Name

JAN L IWATA

Original Issue Date

07/17/2001

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

06/29/2023