JOSEPH T GORDON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000512

License Status

ACTIVE

Business

First Name

JOSEPH T

Last Name

GORDON

Business Name

JOSEPH T GORDON

Original Issue Date

12/05/2000

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

09/27/2024