FUJII SHOTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000485

License Status

EXPIRED

Business

Title

First Name

FUJII

Last Name

SHOTA

Business Name

FUJII SHOTA MD

Original Issue Date

09/09/2012

Effective Date

09/09/2012

Expiration Date

03/08/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

04/02/2013