CHARLES MARTIN GORMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011694

License Status

NOT RENEWED

Business

First Name

CHARLES MARTIN

Last Name

GORMAN

Suffix

DDS

Business Name

CHARLES MARTIN GORMAN DDS

Original Issue Date

08/01/1960

Effective Date

08/01/1960

Expiration Date

09/30/1992

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005

Case Number

1985000629

Action

Suspension

Discipline Start Date

06/01/1986

Discipline End Date

07/15/1986