TAKANORI FUKUSHIMA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000012

License Status

EXPIRED

Business

First Name

TAKANORI

Last Name

FUKUSHIMA

Business Name

TAKANORI FUKUSHIMA

Original Issue Date

01/27/1995

Effective Date

01/27/1995

Expiration Date

01/01/1997

City

PITTSBURGH

State

Zip

15212

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/23/2006