MICHAEL C FOREMAN DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000108

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

FOREMAN

Suffix

DMD

Business Name

MICHAEL C FOREMAN DMD

Original Issue Date

04/13/2005

Effective Date

04/13/2005

Expiration Date

06/30/2010

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/08/2010