GLEN R GORDON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022662

License Status

NOT RENEWED

Business

First Name

GLEN R

Last Name

GORDON

Suffix

DMD

Business Name

GLEN R GORDON DMD

Original Issue Date

10/08/1991

Effective Date

10/08/1991

Expiration Date

09/30/1994

City

WILDWOOD

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005