YUKITAKA SHIZUKUDA 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

YUKITAKA

Last Name

SHIZUKUDA

Suffix

Business Name

YUKITAKA SHIZUKUDA MD

Original Issue Date

06/09/1999

Effective Date

06/09/1999

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011