KENT MIKIO SHINOZAKI DDS - Dentist License in Illinois | # 021002494

KENT MIKIO SHINOZAKI DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002494

License Status

ACTIVE

Business

N

Title

DDS

First Name

KENT

Middle

MIKIO

Last Name

SHINOZAKI

Business Name

KENT MIKIO SHINOZAKI DDS

Original Issue Date

10/01/2012

Effective Date

05/10/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

N

LastModifiedDate

05/10/2024