CHARLES S BORDEN III DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

ACTIVE

Business

Title

DDS

First Name

CHARLES

Middle

Last Name

BORDEN

Suffix

III

Business Name

CHARLES S BORDEN III DDS

Original Issue Date

08/15/2000

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/13/2025