GUY DUFORT MITTON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014630

License Status

NOT RENEWED

Business

First Name

GUY DUFORT

Last Name

MITTON

Suffix

DDS

Business Name

GUY DUFORT MITTON DDS

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005