TROY REICHI OKUNAMI - Dentist License in Illinois | # 018001301

TROY REICHI OKUNAMI

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001301

License Status

NOT RENEWED

Business

N

First Name

TROY

Middle

REICHI

Last Name

OKUNAMI

Business Name

TROY REICHI OKUNAMI

Original Issue Date

09/11/2001

Effective Date

09/11/2001

Expiration Date

05/08/2004

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005