THOMAS M WATANABE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116691

License Status

INACTIVE

Business

Title

First Name

THOMAS

Middle

Last Name

WATANABE

Business Name

THOMAS M WATANABE MD

Original Issue Date

08/07/2006

Effective Date

05/19/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011