PATRICK KEONE MIYAMASU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

Title

DDS

First Name

PATRICK

Middle

KEONE

Last Name

MIYAMASU

Business Name

PATRICK KEONE MIYAMASU DDS

Original Issue Date

07/01/2009

Effective Date

08/27/2018

Expiration Date

01/31/2022

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022