MASARU MIURA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PROFESSOR

License Number

113000040

License Status

EXPIRED

Business

First Name

MASARU

Last Name

MIURA

Suffix

Business Name

MASARU MIURA MD

Original Issue Date

12/23/2002

Effective Date

12/23/2002

Expiration Date

10/30/2004

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006