RAYMOND JAMES IMATANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

CANCELLED

Business

Title

First Name

RAYMOND

Middle

JAMES

Last Name

IMATANI

Business Name

RAYMOND JAMES IMATANI MD

Original Issue Date

02/23/2006

Effective Date

08/19/2008

Expiration Date

07/31/2011

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011