TAISHI HIRAI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059877

License Status

CANCELLED

Business

Title

First Name

TAISHI

Last Name

HIRAI

Business Name

TAISHI HIRAI MD

Original Issue Date

06/22/2011

Effective Date

06/22/2011

Expiration Date

06/21/2014

City

COLUMBIA

State

Zip

65212

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/09/2011