MICHAEL SCOTT GIDEON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001118

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

SCOTT

Last Name

GIDEON

Business Name

MICHAEL SCOTT GIDEON

Original Issue Date

08/20/1998

Effective Date

08/20/1998

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005