MAXIMILIANO A TAMAE KAKAZU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122425

License Status

NOT RENEWED

Business

First Name

MAXIMILIANO

Middle

Last Name

TAMAE KAKAZU

Suffix

Business Name

MAXIMILIANO A TAMAE KAKAZU MD

Original Issue Date

01/09/2009

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014