CHARLES S BORDEN JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000617

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHARLES S

Last Name

BORDEN

Suffix

Business Name

CHARLES S BORDEN JR DDS

Original Issue Date

12/08/1969

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

11/14/2012