TADASHI OKAMOTO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

TADASHI

Last Name

OKAMOTO

Business Name

TADASHI OKAMOTO

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005