YOKO MOMOYAMA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

CANCELLED

Business

First Name

YOKO

Last Name

MOMOYAMA

Suffix

Business Name

YOKO MOMOYAMA MD

Original Issue Date

06/06/2001

Effective Date

06/06/2001

Expiration Date

07/31/2002

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020