FUKI M HISAMA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021964

License Status

EXPIRED

Business

First Name

FUKI

Middle

Last Name

HISAMA

Business Name

FUKI M HISAMA

Original Issue Date

05/05/1988

Effective Date

05/05/1988

Expiration Date

06/21/1991

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2009