ZAIA YOUNATAN ISHO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

ZAIA

Middle

YOUNATAN

Last Name

ISHO

Suffix

Business Name

ZAIA YOUNATAN ISHO MD

Original Issue Date

12/19/2005

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

MODESTO

State

Zip

95355

County

CALIFORNIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014