TAKAKO V ISHIMARU-TSENG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

TAKAKO V

Last Name

ISHIMARU-TSENG

Suffix

Business Name

TAKAKO V ISHIMARU-TSENG MD

Original Issue Date

06/12/1996

Effective Date

06/12/1996

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006