MAXIMILIANO A TAMAE KAKAZU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050787

License Status

CANCELLED

Business

First Name

MAXIMILIANO

Middle

Last Name

TAMAE KAKAZU

Suffix

Business Name

MAXIMILIANO A TAMAE KAKAZU MD

Original Issue Date

07/26/2006

Effective Date

07/26/2006

Expiration Date

07/25/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/23/2007