YOICHIRO ROY MIYAMOTO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

YOICHIRO ROY

Last Name

MIYAMOTO

Business Name

YOICHIRO ROY MIYAMOTO

Original Issue Date

06/05/1986

Effective Date

06/05/1986

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005