Wayne Ichikawa
InactiveCalifornia license 29954
License
- Licensed by
- Dental Board of California
- License number
- 29954
- Status
- Inactive (CurrentInactive)
- First issued
- July 1, 1981
- Expires
- July 31, 2028
- License holder
- Wayne Ichikawa
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
11700 W Charleston Blvd
#170-131
Las Vegas, NV 89135
#170-131
Las Vegas, NV 89135
Clark County