License holder summary

KOMAKI KEITH Y is a Dental License licensed to practice in California. The address on file for KOMAKI KEITH Y is 646 S. GENTRY LANE ANAHEIM CA 92807. This licensed professional license is not current. The license was granted 01/01/1972 and expired on 04/30/2016.

California

Department of Consumer Affairs

KOMAKI KEITH Y
Dental License
License number
22715
Date granted
01/01/1972
Date expires
04/30/2016
Class
Dental License
Status
Suspended
Address
646 S. GENTRY LANE ANAHEIM CA 92807
californialicensing.org
ID 19766426
LAST UPDATED 2024-02-10 08:17:22 UTC

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