LUIS CARLOS WATANABE TEJADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138396

License Status

NOT RENEWED

Business

Title

First Name

LUIS

Middle

CARLOS

Last Name

WATANABE TEJADA

Business Name

LUIS CARLOS WATANABE TEJADA MD

Original Issue Date

06/19/2015

Effective Date

04/26/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021