THEODORE GORDON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009168

License Status

NOT RENEWED

Business

First Name

THEODORE

Last Name

GORDON

Suffix

DDS

Business Name

THEODORE GORDON DDS

Original Issue Date

11/13/1946

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006