MARK KENJI YAMAGUCHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124251

License Status

NOT RENEWED

Business

First Name

MARK

Middle

KENJI

Last Name

YAMAGUCHI

Suffix

Business Name

MARK KENJI YAMAGUCHI MD

Original Issue Date

08/20/2009

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

STILLWATER

State

Zip

55082

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/17/2014