SAM MASAMI SASAMOTO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010877

License Status

NOT RENEWED

Business

First Name

SAM MASAMI

Last Name

SASAMOTO

Suffix

DDS

Business Name

SAM MASAMI SASAMOTO DDS

Original Issue Date

08/14/1956

Effective Date

08/14/1956

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005