LEE EIJI MIYASATO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122367

License Status

NOT RENEWED

Business

Title

First Name

LEE

Middle

EIJI

Last Name

MIYASATO

Business Name

LEE EIJI MIYASATO MD

Original Issue Date

12/22/2008

Effective Date

12/22/2008

Expiration Date

07/31/2011

City

WAILUKU

State

Zip

96793

Ever Disciplined

LastModifiedDate

11/14/2011