NIKKISHA TAMURA SUBER DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

INACTIVE

Business

Title

DMD

First Name

NIKKISHA

Middle

TAMURA

Last Name

SUBER

Business Name

NIKKISHA TAMURA SUBER DMD

Original Issue Date

06/02/2017

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

MOUNT LAUREL

State

Zip

08054

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024