NIKKISHA TAMURA SUBER DMD - Dentist License in New Jersey | # 31*****13

NIKKISHA TAMURA SUBER DMD

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

INACTIVE

Business

N

Title

DMD

First Name

NIKKISHA

Middle

TAMURA

Last Name

SUBER

Business Name

NIKKISHA TAMURA SUBER DMD

Original Issue Date

06/02/2017

Effective Date

09/11/2021

Expiration Date

09/30/2024

State

NJ

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

05/01/2024