ARNOLD GORDON INGRAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

ARNOLD GORDON

Last Name

INGRAM

Business Name

ARNOLD GORDON INGRAM

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60635

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1988000458

Action

Suspension

Discipline Start Date

09/23/1989

Discipline End Date

09/23/1990