MICHAEL F GANNON DDS - Dentist License in Wisconsin | # 021000447

MICHAEL F GANNON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000447

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

11/25/1964

Effective Date

11/25/1964

Expiration Date

09/30/2006

State

WI

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

11/08/2006