STEVEN WAYNE TAKIMOTO - Dentist License in Illinois | # 020003277

STEVEN WAYNE TAKIMOTO

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003277

License Status

NOT RENEWED

Business

N

First Name

STEVEN WAYNE

Last Name

TAKIMOTO

Business Name

STEVEN WAYNE TAKIMOTO

Original Issue Date

07/21/1977

Effective Date

07/21/1977

Expiration Date

09/30/1980

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005