MIA SONIA SCHULTZ TANAKA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

Title

First Name

MIA SONIA

Middle

SCHULTZ

Last Name

TANAKA

Business Name

MIA SONIA SCHULTZ TANAKA DO

Original Issue Date

09/24/2012

Effective Date

09/24/2012

Expiration Date

07/31/2014

City

GRANITE BAY

State

Zip

95746

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017