License Directory

Ted Kiyotoshi Nishimura Od

Expired

Illinois license 34*****30

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
34*****30
Status
Expired (Not Renewed)
First issued
April 3, 1997
Expired
March 31, 1998
License holder
Ted Kiyotoshi Nishimura Od
Entity type
Individual

Classifications

More from the license record

Specialty
Practitioner
Controlled substance schedules
IV
Current term began
01/12/2000

Other Illinois licenses under this name

Contact

Bolingbrook, IL 60440
Will County