GERALD JOHN MICKEL - Dentist License in Arizona | # 020002313

GERALD JOHN MICKEL

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002313

License Status

NOT RENEWED

Business

N

First Name

GERALD JOHN

Last Name

MICKEL

Business Name

GERALD JOHN MICKEL

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/1992

State

AZ

Ever Disciplined

N

LastModifiedDate

10/12/2005