MICHAEL G MCMANNIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024232

License Status

NOT RENEWED

Business

First Name

MICHAEL G

Last Name

MCMANNIS

Business Name

MICHAEL G MCMANNIS

Original Issue Date

08/15/1996

Effective Date

08/15/1996

Expiration Date

09/30/2000

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005