Michael R Fukawa
InactiveIllinois license 019020394
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019020394
- Status
- Inactive
- First issued
- October 8, 1986
- Expired
- September 30, 1990
- License holder
- Michael R Fukawa
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 10/08/1986
Contact
San Jose, CA 95128
California County