LIDIANE FUMIKO TAKEDA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034563

License Status

ACTIVE

Business

First Name

LIDIANE

Middle

FUMIKO

Last Name

TAKEDA

Business Name

LIDIANE FUMIKO TAKEDA

Original Issue Date

08/03/2023

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

ORLAND HILLS

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

08/09/2024