Megumi Takayasu
InactiveCalifornia license 40121
License
- Licensed by
- Dental Board of California
- License number
- 40121
- Status
- Inactive (CurrentInactive)
- First issued
- July 23, 1992
- Expires
- November 30, 2026
- License holder
- Megumi Takayasu
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
- Country
- Japan
Contact
1-9-5 Akamine
Naha 901-0154
Naha 901-0154