TETSUYA TAKEUCHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133452

License Status

NOT RENEWED

Business

Title

First Name

TETSUYA

Last Name

TAKEUCHI

Business Name

TETSUYA TAKEUCHI MD

Original Issue Date

07/02/2013

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017