AKIHIRO ITO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

AKIHIRO

Last Name

ITO

Business Name

AKIHIRO ITO

Original Issue Date

12/29/2004

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

TREMONT

State

Zip

61568

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023