MICHITAKA KAWATA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139988

License Status

NOT RENEWED

Business

Title

First Name

MICHITAKA

Last Name

KAWATA

Business Name

MICHITAKA KAWATA MD

Original Issue Date

03/10/2016

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

LA CROSSE

State

Zip

54601

Ever Disciplined

LastModifiedDate

01/14/2021