KEVIN RYUJI MACHINO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073409

License Status

CANCELLED

Business

Title

First Name

KEVIN

Middle

RYUJI

Last Name

MACHINO

Business Name

KEVIN RYUJI MACHINO DO

Original Issue Date

07/11/2018

Effective Date

07/11/2018

Expiration Date

07/10/2021

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

07/11/2018