MARIAH RENEE TSUBAKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013034

License Status

NOT RENEWED

Business

First Name

MARIAH

Middle

RENEE

Last Name

TSUBAKI

Business Name

MARIAH RENEE TSUBAKI

Original Issue Date

08/13/2009

Effective Date

08/31/2015

Expiration Date

09/30/2018

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/31/2018