RAYMOND TAKASHI KUWAHARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

RAYMOND

Middle

TAKASHI

Last Name

KUWAHARA

Suffix

Business Name

RAYMOND TAKASHI KUWAHARA MD

Original Issue Date

05/23/2007

Effective Date

05/23/2007

Expiration Date

07/31/2008

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008