TAKASHI MATSUKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

TAKASHI

Last Name

MATSUKI

Business Name

TAKASHI MATSUKI MD

Original Issue Date

12/22/2022

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60603

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023