ERIC T MIZUNO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023283

License Status

EXPIRED

Business

Title

First Name

ERIC T

Last Name

MIZUNO

Business Name

ERIC T MIZUNO MD

Original Issue Date

04/19/1989

Effective Date

04/19/1989

Expiration Date

06/20/1992

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/07/2013