MIKE G HALLAM DMD - Dentist License in Illinois | # 018000575

MIKE G HALLAM DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000575

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005