JOHN A GORDON JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

JOHN A

Last Name

GORDON JR

Business Name

JOHN A GORDON JR

Original Issue Date

10/13/1989

Effective Date

10/13/1989

Expiration Date

09/30/1992

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005