GERALD JOHN MICKEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002313

License Status

NOT RENEWED

Business

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

City

TUCSON

State

Zip

85737

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005