MICHAEL R FUKAWA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020394

License Status

INACTIVE

Business

First Name

MICHAEL R

Last Name

FUKAWA

Business Name

MICHAEL R FUKAWA

Original Issue Date

10/08/1986

Effective Date

10/08/1986

Expiration Date

09/30/1990

City

SAN JOSE

State

Zip

95128

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005