RONALD HIROTSUGU OMINO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142969

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

HIROTSUGU

Last Name

OMINO

Business Name

RONALD HIROTSUGU OMINO

Original Issue Date

04/12/2017

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60661

Ever Disciplined

LastModifiedDate

01/14/2021