MICAELA BAREISS GIBBS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000817

License Status

NOT RENEWED

Business

First Name

MICAELA BAREISS

Last Name

GIBBS

Suffix

DDS

Business Name

MICAELA BAREISS GIBBS DDS

Original Issue Date

09/26/1994

Effective Date

09/26/1994

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005