MICHAEL F GANNON DDS - Dentist License in Wisconsin | # 019011788

MICHAEL F GANNON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011788

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

F

Last Name

GANNON

Suffix

DDS

Business Name

MICHAEL F GANNON DDS

Original Issue Date

08/16/1960

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

WI

Ever Disciplined

N

LastModifiedDate

11/08/2006