GLEN M IMAMURA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018944

License Status

NOT RENEWED

Business

Title

DDS

First Name

GLEN

Middle

Last Name

IMAMURA

Business Name

GLEN M IMAMURA DDS

Original Issue Date

01/20/1984

Effective Date

10/15/2021

Expiration Date

09/30/2024

City

CLARKSBURG

State

Zip

20871

County

MARYLAND

Ever Disciplined

LastModifiedDate

02/04/2025