HIROKO IIDA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001249

License Status

NOT RENEWED

Business

First Name

HIROKO

Last Name

IIDA

Suffix

DDS

Business Name

HIROKO IIDA DDS

Original Issue Date

09/19/2000

Effective Date

09/19/2000

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018