CHARLES S BORDEN JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHARLES S

Last Name

BORDEN

Suffix

Business Name

CHARLES S BORDEN JR DDS

Original Issue Date

04/23/1985

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009