MICHAEL Y MATSUMOTO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000338

License Status

NOT RENEWED

Business

First Name

MICHAEL Y

Last Name

MATSUMOTO

Suffix

DDS

Business Name

MICHAEL Y MATSUMOTO DDS

Original Issue Date

06/01/1989

Effective Date

06/01/1989

Expiration Date

06/30/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005