MICHAEL EDWARD GORDON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

First Name

MICHAEL EDWARD

Last Name

GORDON

Suffix

DDS

Business Name

MICHAEL EDWARD GORDON DDS

Original Issue Date

01/01/1998

Effective Date

06/05/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60609

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2024