WAYNE MINORU KISHIMOTO MD - Medical Doctor License in California | # 036129565

WAYNE MINORU KISHIMOTO MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129565

License Status

NOT RENEWED

Business

N

Title

MD

First Name

WAYNE

Middle

MINORU

Last Name

KISHIMOTO

Business Name

WAYNE MINORU KISHIMOTO MD

Original Issue Date

02/03/2012

Effective Date

02/03/2012

Expiration Date

07/31/2014

State

CA

Ever Disciplined

N

LastModifiedDate

11/17/2014