MILTON TAKASHI FUJITA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

CANCELLED

Business

First Name

MILTON TAKASHI

Last Name

FUJITA

Suffix

Business Name

MILTON TAKASHI FUJITA MD

Original Issue Date

08/17/1992

Effective Date

08/17/1992

Expiration Date

07/31/2005

City

GREENVILLE

State

Zip

62246

County

BOND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006