GREGORY A MITTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000825

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

MITTON

Business Name

GREGORY A MITTON

Original Issue Date

12/20/1994

Effective Date

12/20/1994

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005