DOUGLAS PAUL BORK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

DOUGLAS PAUL

Last Name

BORK

Suffix

DDS

Business Name

DOUGLAS PAUL BORK DDS

Original Issue Date

10/15/1981

Effective Date

07/23/2024

Expiration Date

09/30/2027

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2024