MICHAEL EDWARD GEWERTH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002543

License Status

NOT RENEWED

Business

First Name

MICHAEL EDWARD

Last Name

GEWERTH

Business Name

MICHAEL EDWARD GEWERTH

Original Issue Date

07/10/1975

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006