ERICA YUMI YAMAMOTO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076129

License Status

EXPIRED

Business

First Name

ERICA

Middle

YUMI

Last Name

YAMAMOTO

Business Name

ERICA YUMI YAMAMOTO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/06/2024