MICHAEL Y MATSUMOTO DDS - Dentist License in Illinois | # 018000338

MICHAEL Y MATSUMOTO DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000338

License Status

NOT RENEWED

Business

N

First Name

MICHAEL Y

Last Name

MATSUMOTO

Suffix

DDS

Business Name

MICHAEL Y MATSUMOTO DDS

Original Issue Date

06/01/1989

Effective Date

06/01/1989

Expiration Date

06/30/1990

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005