ELLEN CAROL GORDON - Dentist License in Illinois | # 020003657

ELLEN CAROL GORDON

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003657

License Status

INACTIVE

Business

N

First Name

ELLEN CAROL

Last Name

GORDON

Business Name

ELLEN CAROL GORDON

Original Issue Date

08/21/1978

Effective Date

08/21/1978

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005