MICHAEL LEWIS TRAUTMAN DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016682

License Status

INACTIVE

Business

First Name

MICHAEL LEWIS

Last Name

TRAUTMAN

Suffix

DMD

Business Name

MICHAEL LEWIS TRAUTMAN DMD

Original Issue Date

06/29/1979

Effective Date

07/10/2015

Expiration Date

09/30/2018

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/31/2018