JERRY THOMAS GORMAN JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009810

License Status

NOT RENEWED

Business

First Name

JERRY THOMAS

Last Name

GORMAN JR

Business Name

JERRY THOMAS GORMAN JR

Original Issue Date

11/15/1950

Effective Date

11/15/1950

Expiration Date

09/30/1988

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005