KEN TOSHIO TATEBE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

KEN

Middle

TOSHIO

Last Name

TATEBE

Business Name

KEN TOSHIO TATEBE MD

Original Issue Date

06/05/2019

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/17/2024