WAYNE MINORU KISHIMOTO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129565

License Status

NOT RENEWED

Business

Title

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

City

SAN DIEGO

State

Zip

92127

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014