GUSTAVO B BORGES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000911

License Status

NOT RENEWED

Business

First Name

GUSTAVO

Middle

Last Name

BORGES

Business Name

GUSTAVO B BORGES

Original Issue Date

11/20/1995

Effective Date

11/20/1995

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005