MIKE G HALLAM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

First Name

MIKE G

Last Name

HALLAM

Suffix

DMD

Business Name

MIKE G HALLAM DMD

Original Issue Date

11/25/1992

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62522

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024