ANGELA N GORDON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

GORDON

Business Name

ANGELA N GORDON

Original Issue Date

05/04/1998

Effective Date

05/04/1998

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005