JEFFREY L KISHIYAMA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022225

License Status

EXPIRED

Business

First Name

JEFFREY L

Last Name

KISHIYAMA

Suffix

Business Name

JEFFREY L KISHIYAMA MD

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

06/21/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006