CHARLES S BORDEN JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011827

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHARLES S

Last Name

BORDEN

Suffix

Business Name

CHARLES S BORDEN JR DDS

Original Issue Date

01/01/1998

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/14/2012