MARK WATANABE DDS - Dentist License in Illinois | # 019010369

MARK WATANABE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010369

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005