License holder summary

MIYAMOTO OSAMU is a Dental License licensed to practice in California. The address on file for MIYAMOTO OSAMU is 126 EAST BROADWAY SAN GABRIEL CA 91776. This licensed professional license is not current. The license was granted 01/01/1954 and expired on 02/28/2005.

California

Department of Consumer Affairs

MIYAMOTO OSAMU
Dental License
License number
12752
Date granted
01/01/1954
Date expires
02/28/2005
Class
Dental License
Status
Canceled
Address
126 EAST BROADWAY SAN GABRIEL CA 91776
californialicensing.org
ID 19799089
LAST UPDATED 2024-03-13 15:38:10 UTC

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