CHARLES ROY GORE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

CHARLES ROY

Last Name

GORE

Business Name

CHARLES ROY GORE

Original Issue Date

02/07/1986

Effective Date

02/07/1986

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005