EDGAR DEMAREST GIFFORD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009579

License Status

INACTIVE

Business

First Name

EDGAR DEMAREST

Last Name

GIFFORD

Business Name

EDGAR DEMAREST GIFFORD

Original Issue Date

08/08/1949

Effective Date

08/08/1949

Expiration Date

09/30/2000

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005