GERALD S GORDON Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

CANCELLED

Business

First Name

GERALD S

Last Name

GORDON

Business Name

GERALD S GORDON

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006