MICAELA BAREISS GIBBS DDS - Dentist License in Illinois | # 018000817

MICAELA BAREISS GIBBS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000817

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005