NICHOLAS S GORDON DDS - Dentist License in Illinois | # 019012843

NICHOLAS S GORDON DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012843

License Status

INACTIVE

Business

N

First Name

NICHOLAS

Middle

S

Last Name

GORDON

Suffix

DDS

Business Name

NICHOLAS S GORDON DDS

Original Issue Date

11/23/1965

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

06/04/2009