NEVILLE DEREK GILMORE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015098

License Status

NOT RENEWED

Business

First Name

NEVILLE DEREK

Last Name

GILMORE

Suffix

DMD

Business Name

NEVILLE DEREK GILMORE DMD

Original Issue Date

04/22/1975

Effective Date

04/22/1975

Expiration Date

09/30/1992

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/12/2005