CHARLES S BORDEN III DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHARLES

Middle

Last Name

BORDEN

Suffix

III

Business Name

CHARLES S BORDEN III DDS

Original Issue Date

02/03/2014

Effective Date

08/27/2015

Expiration Date

09/30/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018