DONALD L GOSSETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000085

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

GOSSETT

Business Name

DONALD L GOSSETT

Original Issue Date

08/03/1982

Effective Date

08/03/1982

Expiration Date

01/01/1998

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005