PAUL KIYOSHI MORIMOTO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

PAUL KIYOSHI

Last Name

MORIMOTO

Suffix

Business Name

PAUL KIYOSHI MORIMOTO MD

Original Issue Date

08/31/1989

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

JOLIET

State

Zip

60431

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017