STEVEN WAYNE TAKIMOTO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003277

License Status

NOT RENEWED

Business

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

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/12/2005