GLENN YUTAKA MIYAMOTO DDS - Dentist License in Illinois | # 019014753

GLENN YUTAKA MIYAMOTO DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014753

License Status

NOT RENEWED

Business

N

First Name

GLENN YUTAKA

Last Name

MIYAMOTO

Suffix

DDS

Business Name

GLENN YUTAKA MIYAMOTO DDS

Original Issue Date

12/17/1973

Effective Date

12/17/1973

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005