HIDEKI KAWANISHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

HIDEKI

Last Name

KAWANISHI

Suffix

Business Name

HIDEKI KAWANISHI MD

Original Issue Date

03/24/2003

Effective Date

03/24/2003

Expiration Date

07/31/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011