MIDORI TAKEYASU PAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033745

License Status

EXPIRED

Business

Title

First Name

MIDORI

Middle

TAKEYASU

Last Name

PAR

Business Name

MIDORI TAKEYASU PAR MD

Original Issue Date

07/03/1995

Effective Date

07/03/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006