JAMES ELWOOD GORMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012483

License Status

NOT RENEWED

Business

First Name

JAMES ELWOOD

Last Name

GORMAN

Suffix

DDS

Business Name

JAMES ELWOOD GORMAN DDS

Original Issue Date

07/14/1964

Effective Date

07/14/1964

Expiration Date

09/30/1988

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005