WAYDE HITOSHI NAGAMINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

WAYDE

Middle

HITOSHI

Last Name

NAGAMINE

Suffix

Business Name

WAYDE HITOSHI NAGAMINE MD

Original Issue Date

03/20/2008

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023