KIMIKO L ISHIBASHI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046659

License Status

EXPIRED

Business

First Name

KIMIKO

Middle

Last Name

ISHIBASHI

Business Name

KIMIKO L ISHIBASHI

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006