MARILYN MUTHEU KIOKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

MARILYN

Middle

MUTHEU

Last Name

KIOKO

Suffix

Business Name

MARILYN MUTHEU KIOKO MD

Original Issue Date

07/23/2015

Effective Date

07/23/2015

Expiration Date

07/31/2017

City

PROVIDENCE

State

Zip

02906

County

RHODE ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/01/2017