KATSUNORI MIYAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083068

License Status

ACTIVE

Business

Title

First Name

KATSUNORI

Last Name

MIYAKE

Business Name

KATSUNORI MIYAKE MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Abdominal Transplant

Ever Disciplined

LastModifiedDate

10/18/2024