GORDON LEE BARKLEY III Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

GORDON

Middle

LEE

Last Name

BARKLEY

Suffix

III

Business Name

GORDON LEE BARKLEY III

Original Issue Date

10/08/2015

Effective Date

10/08/2015

Expiration Date

09/30/2018

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018