PATRICK KEONE MIYAMASU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028007

License Status

NOT RENEWED

Business

Title

DDS

First Name

PATRICK

Middle

KEONE

Last Name

MIYAMASU

Business Name

PATRICK KEONE MIYAMASU DDS

Original Issue Date

06/15/2009

Effective Date

08/27/2018

Expiration Date

01/31/2022

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022