MICHAEL SCOTT GIDEON - Dentist License in Illinois | # 018001118

MICHAEL SCOTT GIDEON

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001118

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005