MASAYA HIGUCHI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129268

License Status

INACTIVE

Business

Title

First Name

MASAYA

Last Name

HIGUCHI

Business Name

MASAYA HIGUCHI MD

Original Issue Date

11/22/2011

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/11/2017