JEFFREY TATS KUWAHARA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069661

License Status

CANCELLED

Business

Title

First Name

JEFFREY

Middle

TATS

Last Name

KUWAHARA

Business Name

JEFFREY TATS KUWAHARA MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/21/2016