MARTIN TAKASHI WATANABE TEJADA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084970

License Status

ACTIVE

Business

Title

First Name

MARTIN

Middle

TAKASHI

Last Name

WATANABE TEJADA

Business Name

MARTIN TAKASHI WATANABE TEJADA MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/28/2024