MARCUS RYAN GILLON DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002071

License Status

EXPIRED

Business

Title

DMD

First Name

MARCUS

Middle

RYAN

Last Name

GILLON

Business Name

MARCUS RYAN GILLON DMD

Original Issue Date

06/20/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/28/2022