MARY KANASHIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

KANASHIRO

Suffix

Business Name

MARY KANASHIRO MD

Original Issue Date

11/09/1995

Effective Date

11/09/1995

Expiration Date

07/31/2005

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020