MYLES MITSUNAGA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167369

License Status

ACTIVE

Business

Title

First Name

MYLES

Last Name

MITSUNAGA

Business Name

MYLES MITSUNAGA MD

Original Issue Date

10/12/2023

Effective Date

10/12/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/03/2025