Takeshi Gary Ichikawa
ExpiredCalifornia license 30829
License
- Licensed by
- Dental Board of California
- License number
- 30829
- Status
- Expired (Delinquent)
- First issued
- July 1, 1982
- Expired
- January 31, 2025
- License holder
- Takeshi Gary Ichikawa
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
19025 Wiley's well Road
Blythe, CA 92225
Blythe, CA 92225
Riverside County