GRACE MADOKA SASAKI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068851

License Status

EXPIRED

Business

Title

First Name

GRACE

Middle

MADOKA

Last Name

SASAKI

Business Name

GRACE MADOKA SASAKI DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

11/19/2020