MICHAEL JEFFREY GAHAGAN DDS - Dentist License in Illinois | # 021000794

MICHAEL JEFFREY GAHAGAN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000794

License Status

NOT RENEWED

Business

N

First Name

MICHAEL JEFFREY

Last Name

GAHAGAN

Suffix

DDS

Business Name

MICHAEL JEFFREY GAHAGAN DDS

Original Issue Date

12/17/1973

Effective Date

12/17/1973

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005