HIDETAKA KITAZONO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121767

License Status

NOT RENEWED

Business

Title

First Name

HIDETAKA

Last Name

KITAZONO

Business Name

HIDETAKA KITAZONO MD

Original Issue Date

08/15/2008

Effective Date

08/15/2008

Expiration Date

07/31/2011

City

BEAVERCREEK

State

Zip

45431

Ever Disciplined

LastModifiedDate

11/14/2011