GEN TANAKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137709

License Status

NOT RENEWED

Business

Title

First Name

GEN

Last Name

TANAKA

Business Name

GEN TANAKA MD

Original Issue Date

04/01/2015

Effective Date

04/01/2015

Expiration Date

07/31/2017

City

QUINCY

State

Zip

02169

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/01/2017