SHIRLEY LYNN MIYAMOTO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004970

License Status

ACTIVE

Business

First Name

SHIRLEY LYNN

Last Name

MIYAMOTO

Business Name

SHIRLEY LYNN MIYAMOTO

Original Issue Date

08/03/1982

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2024