JEFFREY TAKERU SUGIMOTO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062383

License Status

NOT RENEWED

Business

First Name

JEFFREY TAKERU

Last Name

SUGIMOTO

Suffix

Business Name

JEFFREY TAKERU SUGIMOTO MD

Original Issue Date

06/19/1981

Effective Date

05/05/2014

Expiration Date

07/31/2017

City

OMAHA

State

Zip

68131

County

NEBRASKA

Ever Disciplined

LastModifiedDate

11/01/2017