JASON M YAMADA DDS - Dentist License in Illinois | # 018000439

JASON M YAMADA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000439

License Status

NOT RENEWED

Business

N

First Name

JASON M

Last Name

YAMADA

Suffix

DDS

Business Name

JASON M YAMADA DDS

Original Issue Date

06/12/1990

Effective Date

06/12/1990

Expiration Date

06/30/1992

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005