HIROKO IIDA DDS - Dentist License in Illinois | # 018001249

HIROKO IIDA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001249

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018