Ryan Masao Mizumoto Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019028088

Status

Expired (Not Renewed)

First issued

July 16, 2009

Expired

September 30, 2012

License holder

Ryan Masao Mizumoto

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

07/16/2009

Other Illinois licenses under this name

• IL
  Ryan Masao Mizumoto Dmd

  License 31*****73 · Ryan Masao Mizumoto

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Chicago, IL

  Expired Sep 30, 2012

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