RONALD TAKESHI MITSUYASU MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059605

License Status

INACTIVE

Business

First Name

RONALD TAKESHI

Last Name

MITSUYASU

Suffix

Business Name

RONALD TAKESHI MITSUYASU MD

Original Issue Date

10/26/1979

Effective Date

10/26/1979

Expiration Date

07/31/1987

City

VAN NUYS

State

Zip

91401

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006