MICHAEL EDWARD GORDON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

MICHAEL EDWARD

Last Name

GORDON

Suffix

DDS

Business Name

MICHAEL EDWARD GORDON DDS

Original Issue Date

07/13/1989

Effective Date

07/13/1989

Expiration Date

09/30/1990

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005