CORY T MIYAMOTO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039585

License Status

EXPIRED

Business

First Name

CORY

Middle

Last Name

MIYAMOTO

Business Name

CORY T MIYAMOTO

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/23/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

09/22/2006