MICHAEL W HENNEMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015610

License Status

NOT RENEWED

Business

First Name

MICHAEL W

Last Name

HENNEMAN

Suffix

DDS

Business Name

MICHAEL W HENNEMAN DDS

Original Issue Date

07/13/1976

Effective Date

07/13/1976

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/12/2005