Ryan Masao Mizumoto Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****73

Status

Expired (Not Renewed)

First issued

August 25, 2009

Expired

September 30, 2012

License holder

Ryan Masao Mizumoto

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Specialty

Practitioner

Controlled substance schedules

III IV V

Current term began

08/25/2009

Other Illinois licenses under this name

• IL
  Ryan Masao Mizumoto Dmd

  License 019028088 · Ryan Masao Mizumoto

  Licensed Dentist (Dental)
  Expired

  Chicago, IL

  Expired Sep 30, 2012

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