HARRY TATSUO IIDA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010479

License Status

NOT RENEWED

Business

First Name

HARRY TATSUO

Last Name

IIDA

Suffix

DDS

Business Name

HARRY TATSUO IIDA DDS

Original Issue Date

08/05/1954

Effective Date

08/05/1954

Expiration Date

09/30/1984

City

GARDENA

State

Zip

90247

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005