MICHAEL F GANNON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011788

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

GANNON

Suffix

DDS

Business Name

MICHAEL F GANNON DDS

Original Issue Date

08/16/1960

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

SHEBOYGAN

State

Zip

53081

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2006