KOJIRO MATSUMOTO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057080

License Status

CANCELLED

Business

Title

First Name

KOJIRO

Last Name

MATSUMOTO

Business Name

KOJIRO MATSUMOTO MD

Original Issue Date

06/26/2009

Effective Date

06/26/2009

Expiration Date

06/25/2012

City

ARLINGTON HEIGHTS

State

Zip

60005

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/04/2009