SARA MICHIKO TANAKA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054414

License Status

EXPIRED

Business

Title

First Name

SARA

Middle

MICHIKO

Last Name

TANAKA

Business Name

SARA MICHIKO TANAKA MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011