HARRISON D GORDNER - Dentist License in Illinois | # 018001936

HARRISON D GORDNER

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001936

License Status

EXPIRED

Business

N

First Name

HARRISON

Middle

D

Last Name

GORDNER

Business Name

HARRISON D GORDNER

Original Issue Date

01/07/2015

Effective Date

01/31/2015

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

09/19/2017