MARVIN MITSUO TANAKA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012809

License Status

NOT RENEWED

Business

First Name

MARVIN MITSUO

Last Name

TANAKA

Suffix

DDS

Business Name

MARVIN MITSUO TANAKA DDS

Original Issue Date

07/15/1965

Effective Date

07/15/1965

Expiration Date

09/30/1996

City

WAILUKU

State

Zip

96793

County

HAWAII

Ever Disciplined

LastModifiedDate

10/12/2005