JEFFREY TAKERU SUGIMOTO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

JEFFREY TAKERU

Last Name

SUGIMOTO

Suffix

Business Name

JEFFREY TAKERU SUGIMOTO MD

Original Issue Date

08/26/1981

Effective Date

08/26/1981

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017