MILTON TAKASHI FUJITA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038790

License Status

INACTIVE

Business

First Name

MILTON TAKASHI

Last Name

FUJITA

Suffix

Business Name

MILTON TAKASHI FUJITA MD

Original Issue Date

11/26/1963

Effective Date

11/26/1963

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006