IRENE TAN MORIMOTO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016674

License Status

NOT RENEWED

Business

First Name

IRENE TAN

Last Name

MORIMOTO

Suffix

DDS

Business Name

IRENE TAN MORIMOTO DDS

Original Issue Date

06/29/1979

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

02/08/2016