MINA FELICE TANAKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

MINA

Middle

FELICE

Last Name

TANAKA

Business Name

MINA FELICE TANAKA MD

Original Issue Date

01/23/2026

Effective Date

01/23/2026

Expiration Date

07/31/2026

City

SHIPROCK

State

Zip

87420

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/23/2026