HANNAH H YASUNAGA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

INACTIVE

Business

First Name

HANNAH

Middle

Last Name

YASUNAGA

Business Name

HANNAH H YASUNAGA

Original Issue Date

12/12/2008

Effective Date

08/16/2018

Expiration Date

12/31/2021

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2021