THOMAS YUJIN HATAKEYAMA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

ACTIVE

Business

Title

DMD

First Name

THOMAS

Middle

YUJIN

Last Name

HATAKEYAMA

Business Name

THOMAS YUJIN HATAKEYAMA DMD

Original Issue Date

07/11/2017

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

SCHAUMBURG

State

Zip

60173

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024