KEN TOSHIO TATEBE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066126

License Status

CANCELLED

Business

Title

First Name

KEN

Middle

TOSHIO

Last Name

TATEBE

Business Name

KEN TOSHIO TATEBE MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

02/27/2018