GARY EDWARD BORDEN DDS - Dentist License in Illinois | # 137000005

GARY EDWARD BORDEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000005

License Status

NOT RENEWED

Business

N

First Name

GARY

Middle

EDWARD

Last Name

BORDEN

Suffix

DDS

Business Name

GARY EDWARD BORDEN DDS

Original Issue Date

01/01/1998

Effective Date

08/14/2015

Expiration Date

09/30/2018

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/31/2018