GLEN PERRY MCGIVNEY DDS - Dentist License in Wisconsin | # 021000646

GLEN PERRY MCGIVNEY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000646

License Status

NOT RENEWED

Business

N

First Name

GLEN PERRY

Last Name

MCGIVNEY

Suffix

DDS

Business Name

GLEN PERRY MCGIVNEY DDS

Original Issue Date

12/08/1969

Effective Date

12/08/1969

Expiration Date

09/30/1984

State

WI

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005