LUSHAN A GORDON DMD - Dentist License in Wisconsin | # 019023677

LUSHAN A GORDON DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023677

License Status

NOT RENEWED

Business

N

First Name

LUSHAN A

Last Name

GORDON

Suffix

DMD

Business Name

LUSHAN A GORDON DMD

Original Issue Date

09/03/1994

Effective Date

09/03/1994

Expiration Date

09/30/2004

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005