CARLOS A IWAMOTO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107062

License Status

ACTIVE

Business

First Name

CARLOS

Middle

Last Name

IWAMOTO

Business Name

CARLOS A IWAMOTO

Original Issue Date

05/29/2002

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

ROSEMOUNT

State

Zip

55068

County

MINNESOTA

Ever Disciplined

LastModifiedDate

06/14/2023