DENNIS TOSHIAKI UEHARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

DENNIS TOSHIAKI

Last Name

UEHARA

Suffix

Business Name

DENNIS TOSHIAKI UEHARA MD

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2020