JONATHAN MARK WADA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167468

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

MARK

Last Name

WADA

Business Name

JONATHAN MARK WADA MD

Original Issue Date

10/24/2023

Effective Date

10/24/2023

Expiration Date

07/31/2026

City

MONTEBELLO

State

Zip

90640

Ever Disciplined

LastModifiedDate

09/28/2023