MARCIA ANN GORDON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

MARCIA ANN

Last Name

GORDON

Business Name

MARCIA ANN GORDON

Original Issue Date

06/24/1986

Effective Date

06/24/1986

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005