NICHOLAS S GORDON DDS - Dentist License in Illinois | # 021000658

NICHOLAS S GORDON DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000658

License Status

INACTIVE

Business

N

First Name

NICHOLAS

Middle

S

Last Name

GORDON

Suffix

DDS

Business Name

NICHOLAS S GORDON DDS

Original Issue Date

12/07/1970

Effective Date

12/07/1970

Expiration Date

09/30/2002

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/17/2005