TAMAKI FUJINO DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

INOPERATIVE

Business

First Name

TAMAKI

Last Name

FUJINO

Suffix

DDS

Business Name

TAMAKI FUJINO DDS

Original Issue Date

08/04/1999

Effective Date

08/04/1999

Expiration Date

09/30/2000

City

ROSELLE

State

Zip

60172

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005