MICHAEL T GULDAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

MICHAEL T

Last Name

GULDAN

Business Name

MICHAEL T GULDAN

Original Issue Date

09/18/1986

Effective Date

09/18/1986

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60655

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005