GARY EDWARD BORDEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000005

License Status

NOT RENEWED

Business

First Name

GARY

Middle

EDWARD

Last Name

BORDEN

Suffix

DDS

Business Name

GARY EDWARD BORDEN DDS

Original Issue Date

01/01/1998

Effective Date

08/14/2015

Expiration Date

09/30/2018

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/31/2018