TAKAYOSHI MATSUDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

TAKAYOSHI

Last Name

MATSUDA

Suffix

Business Name

TAKAYOSHI MATSUDA MD

Original Issue Date

06/11/1987

Effective Date

06/11/1987

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017