Cecil Jiro Takata
ExpiredCalifornia license 25635
License
- Licensed by
- Dental Board of California
- License number
- 25635
- Status
- Expired (Delinquent)
- First issued
- March 19, 1976
- Expired
- June 30, 2022
- License holder
- Cecil Jiro Takata
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
981766 Nahele Street
Aiea, HI 96701-1726
Aiea, HI 96701-1726
Honolulu County