KEIKO WATANABE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

ACTIVE

Business

First Name

KEIKO

Last Name

WATANABE

Business Name

KEIKO WATANABE

Original Issue Date

10/21/1986

Effective Date

06/28/2024

Expiration Date

09/30/2027

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2024