TERUYUKI HATAKEYAMA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

First Name

TERUYUKI

Last Name

HATAKEYAMA

Business Name

TERUYUKI HATAKEYAMA

Original Issue Date

11/01/1984

Effective Date

09/28/2024

Expiration Date

09/30/2027

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/28/2024