KANAKO KAWAI SHUAIPAJ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

KANAKO

Middle

KAWAI

Last Name

SHUAIPAJ

Business Name

KANAKO KAWAI SHUAIPAJ

Original Issue Date

05/05/2008

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023