MICHAEL PATRICK GORMAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018623

License Status

INACTIVE

Business

First Name

MICHAEL PATRICK

Last Name

GORMAN

Business Name

MICHAEL PATRICK GORMAN

Original Issue Date

07/25/1983

Effective Date

09/24/2015

Expiration Date

09/30/2018

City

CISSNA PARK

State

Zip

60924

County

IROQUOIS

Ever Disciplined

LastModifiedDate

06/07/2018