ALAN KAZUNARI MARUMOTO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034031

License Status

EXPIRED

Business

First Name

ALAN KAZUNARI

Last Name

MARUMOTO

Business Name

ALAN KAZUNARI MARUMOTO

Original Issue Date

04/10/1996

Effective Date

04/10/1996

Expiration Date

05/06/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006