TODD T TSUCHIYA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

TODD T

Last Name

TSUCHIYA

Business Name

TODD T TSUCHIYA

Original Issue Date

01/19/1989

Effective Date

01/19/1989

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005