MICHAEL KOICHI HASEGAWA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138667

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

KOICHI

Last Name

HASEGAWA

Business Name

MICHAEL KOICHI HASEGAWA MD

Original Issue Date

07/14/2015

Effective Date

07/14/2015

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017