GORDON W THORELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011998

License Status

NOT RENEWED

Business

Title

DDS

First Name

GORDON

Middle

Last Name

THORELL

Business Name

GORDON W THORELL DDS

Original Issue Date

09/28/1961

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2010