T GORDON GREENLEE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000404

License Status

NOT RENEWED

Business

First Name

T GORDON

Last Name

GREENLEE

Suffix

DDS

Business Name

T GORDON GREENLEE DDS

Original Issue Date

07/02/1996

Effective Date

06/23/2015

Expiration Date

09/30/2018

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/31/2018