NICHOLAS S GORDON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012843

License Status

INACTIVE

Business

First Name

NICHOLAS

Middle

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

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

06/04/2009