MICHELLE MISAE NISHINA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025330

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

MISAE

Last Name

NISHINA

Suffix

DDS

Business Name

MICHELLE MISAE NISHINA DDS

Original Issue Date

07/13/2000

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

FREMONT

State

Zip

94536

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

05/09/2022