JASON TAKEMI NINOMIYA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044408

License Status

EXPIRED

Business

First Name

JASON

Middle

TAKEMI

Last Name

NINOMIYA

Suffix

Business Name

JASON TAKEMI NINOMIYA MD

Original Issue Date

06/22/2002

Effective Date

06/22/2002

Expiration Date

06/21/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006