JERRY GLENN GARDNER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016266

License Status

NOT RENEWED

Business

First Name

JERRY GLENN

Last Name

GARDNER

Suffix

DDS

Business Name

JERRY GLENN GARDNER DDS

Original Issue Date

05/12/1978

Effective Date

05/12/1978

Expiration Date

04/01/1982

City

WESTLAND

State

Zip

48185

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005