License holder summary

TAKEDA KENNETH K is a Dental License licensed to practice in California. The address on file for TAKEDA KENNETH K is 626 BIRCHWOOD DR LODI CA 95240. This licensed professional license is not current. The license was granted 01/01/1965 and expired on 12/31/2011.

California

Department of Consumer Affairs

TAKEDA KENNETH K
Dental License
License number
18650
Date granted
01/01/1965
Date expires
12/31/2011
Class
Dental License
Status
DELINQUENT, RADIATION SAFETY CERTIFICATION FILED WITH BOARD
Address
626 BIRCHWOOD DR LODI CA 95240
californialicensing.org
ID 19781589
LAST UPDATED 2024-05-02 04:40:01 UTC

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