TRAVIS TAKANORI YAMANAKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128998

License Status

ACTIVE

Business

Title

First Name

TRAVIS

Middle

TAKANORI

Last Name

YAMANAKA

Business Name

TRAVIS TAKANORI YAMANAKA MD

Original Issue Date

09/21/2011

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2023