HARRISON D GORDNER Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001936

License Status

EXPIRED

Business

First Name

HARRISON

Middle

Last Name

GORDNER

Business Name

HARRISON D GORDNER

Original Issue Date

01/07/2015

Effective Date

01/31/2015

Expiration Date

06/30/2017

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

09/19/2017