MICHAEL SCOTT GIDEON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

SCOTT

Last Name

GIDEON

Business Name

MICHAEL SCOTT GIDEON

Original Issue Date

05/09/2001

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024