GLENN YUTAKA MIYAMOTO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014753

License Status

NOT RENEWED

Business

First Name

GLENN YUTAKA

Last Name

MIYAMOTO

Suffix

DDS

Business Name

GLENN YUTAKA MIYAMOTO DDS

Original Issue Date

12/17/1973

Effective Date

12/17/1973

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005