MICHAEL F GANNON DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

GANNON

Suffix

DDS

Business Name

MICHAEL F GANNON DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005