JERRY THOMAS GORMAN JR - Dentist License in Illinois | # 019009810

JERRY THOMAS GORMAN JR

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009810

License Status

NOT RENEWED

Business

N

First Name

JERRY THOMAS

Last Name

GORMAN JR

Business Name

JERRY THOMAS GORMAN JR

Original Issue Date

11/15/1950

Effective Date

11/15/1950

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005