KENJE OGATA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

KENJE

Last Name

OGATA

Business Name

KENJE OGATA

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/13/2005