MIDORI TAKEYASU PAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

MIDORI

Middle

TAKEYASU

Last Name

PAR

Business Name

MIDORI TAKEYASU PAR MD

Original Issue Date

03/03/1997

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023