JUDITH L SHIMAMOTO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010232

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

Last Name

SHIMAMOTO

Business Name

JUDITH L SHIMAMOTO

Original Issue Date

02/07/2002

Effective Date

09/21/2015

Expiration Date

09/30/2018

City

ALBUQUERQUE

State

Zip

87104

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/31/2018