HIDEKI KAWANISHI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108835

License Status

INACTIVE

Business

First Name

HIDEKI

Last Name

KAWANISHI

Suffix

Business Name

HIDEKI KAWANISHI MD

Original Issue Date

03/19/2003

Effective Date

06/28/2011

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

47403

County

INDIANA

Ever Disciplined

LastModifiedDate

04/08/2014