MATTHEW KEN ASANO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060798

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

KEN

Last Name

ASANO

Business Name

MATTHEW KEN ASANO MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

03/24/2014