HISANORI HASEGAWA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082830

License Status

NOT RENEWED

Business

First Name

HISANORI

Last Name

HASEGAWA

Suffix

Business Name

HISANORI HASEGAWA MD

Original Issue Date

07/01/1991

Effective Date

07/01/1991

Expiration Date

07/31/1993

City

DAYTON

State

Zip

45459

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

08/15/2011