MAKOTO SUGIUCHI DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026137

License Status

INACTIVE

Business

First Name

MAKOTO

Last Name

SUGIUCHI

Suffix

DDS

Business Name

MAKOTO SUGIUCHI DDS

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

09/30/2004

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005