TERUYUKI HATAKEYAMA - Dentist License in Illinois | # 019019002

TERUYUKI HATAKEYAMA

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019002

License Status

ACTIVE

Business

N

First Name

TERUYUKI

Last Name

HATAKEYAMA

Business Name

TERUYUKI HATAKEYAMA

Original Issue Date

07/02/1984

Effective Date

09/28/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/28/2024