License holder summary

ISAMI SAM MIYATAKE is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for ISAMI SAM MIYATAKE is OZARK, MO 657218100. This licensed professional license is not current. The license was granted 01/19/1965 and expired on 01/31/2012.

Utah

Division of Occupational and Professional Licensing

ISAMI SAM MIYATAKE
Physician - Physician & Surgeon
License number
147960-1205
Date granted
01/19/1965
Date expires
01/31/2012
Class
Physician - Physician & Surgeon
Status
Expired
Address
OZARK, MO 657218100
utahlicensing.org
ID 29925111
LAST UPDATED 2024-04-07 18:33:53 UTC

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