JAMES EDWARD GORMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011349

License Status

NOT RENEWED

Business

First Name

JAMES EDWARD

Last Name

GORMAN

Business Name

JAMES EDWARD GORMAN

Original Issue Date

08/15/1958

Effective Date

09/23/2009

Expiration Date

09/30/2012

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/14/2012