GARY EDWARD BORDEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

GARY

Middle

EDWARD

Last Name

BORDEN

Suffix

DDS

Business Name

GARY EDWARD BORDEN DDS

Original Issue Date

12/20/2013

Effective Date

08/14/2015

Expiration Date

09/30/2018

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018