MICHAEL F GANNON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000447

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

GANNON

Suffix

DDS

Business Name

MICHAEL F GANNON DDS

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

09/30/2006

City

SHEBOYGAN

State

Zip

53081

County

WISCONSIN

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

11/08/2006