KATHERINE MARIE HIDAKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

Title

First Name

KATHERINE

Middle

MARIE

Last Name

HIDAKA

Business Name

KATHERINE MARIE HIDAKA MD

Original Issue Date

04/02/2009

Effective Date

07/16/2020

Expiration Date

07/31/2023

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023