BRAD KEOLA KATSUICHI NAKAMURA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073680

License Status

EXPIRED

Business

Title

First Name

BRAD

Middle

KEOLA KATSUICHI

Last Name

NAKAMURA

Business Name

BRAD KEOLA KATSUICHI NAKAMURA MD

Original Issue Date

06/23/2022

Effective Date

06/23/2022

Expiration Date

06/22/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/06/2024