MIKE G HALLAM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000575

License Status

NOT RENEWED

Business

First Name

MIKE G

Last Name

HALLAM

Suffix

DMD

Business Name

MIKE G HALLAM DMD

Original Issue Date

07/15/1991

Effective Date

07/15/1991

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005