SHOICHIRO ALBERTO TANAKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155527

License Status

ACTIVE

Business

Title

First Name

SHOICHIRO

Middle

ALBERTO

Last Name

TANAKA

Business Name

SHOICHIRO ALBERTO TANAKA MD

Original Issue Date

02/04/2021

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

12/10/2024