HIDEFUMI NISHIDA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073437

License Status

CANCELLED

Business

Title

First Name

HIDEFUMI

Last Name

NISHIDA

Business Name

HIDEFUMI NISHIDA MD

Original Issue Date

01/01/2020

Effective Date

01/01/2020

Expiration Date

12/31/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/17/2019