EMILY SIGNE MIKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

EMILY

Middle

SIGNE

Last Name

MIKA

Business Name

EMILY SIGNE MIKA MD

Original Issue Date

05/09/2013

Effective Date

05/09/2013

Expiration Date

07/31/2014

City

SCOTTSDALE

State

Zip

85251

County

ARIZONA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014