THOMAS M WATANABE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045757

License Status

CANCELLED

Business

Title

First Name

THOMAS

Middle

Last Name

WATANABE

Business Name

THOMAS M WATANABE MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006