CHZKAKO TERAMOTO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001258

License Status

NOT RENEWED

Business

First Name

CHZKAKO

Last Name

TERAMOTO

Suffix

DDS

Business Name

CHZKAKO TERAMOTO DDS

Original Issue Date

01/30/2001

Effective Date

01/30/2001

Expiration Date

10/31/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005