MARK WATANABE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010369

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

WATANABE

Suffix

DDS

Business Name

MARK WATANABE DDS

Original Issue Date

08/11/1953

Effective Date

08/11/1953

Expiration Date

09/30/1990

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005