MASAYA HIGUCHI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053825

License Status

EXPIRED

Business

Title

First Name

MASAYA

Last Name

HIGUCHI

Business Name

MASAYA HIGUCHI MD

Original Issue Date

07/12/2007

Effective Date

07/12/2007

Expiration Date

07/11/2010

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/05/2010