KEN TOSHIO TATEBE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149466

License Status

ACTIVE

Business

Title

First Name

KEN

Middle

TOSHIO

Last Name

TATEBE

Business Name

KEN TOSHIO TATEBE MD

Original Issue Date

05/28/2019

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/17/2024