MIKE H HACKMANN MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019673

License Status

NOT RENEWED

Business

First Name

MIKE

Middle

Last Name

HACKMANN

Suffix

Business Name

MIKE H HACKMANN MD

Original Issue Date

07/24/1985

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/14/2012