GLEN PERRY MCGIVNEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000646

License Status

NOT RENEWED

Business

First Name

GLEN PERRY

Last Name

MCGIVNEY

Suffix

DDS

Business Name

GLEN PERRY MCGIVNEY DDS

Original Issue Date

12/08/1969

Effective Date

12/08/1969

Expiration Date

09/30/1984

City

OCONOMOWOC

State

Zip

53066

County

WISCONSIN

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/13/2005