JEFFREY GLEN GORDON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

GLEN

Last Name

GORDON

Suffix

DDS

Business Name

JEFFREY GLEN GORDON DDS

Original Issue Date

08/05/1994

Effective Date

12/02/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2016