LAURIE S GORDON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

LAURIE S

Last Name

GORDON

Business Name

LAURIE S GORDON

Original Issue Date

02/03/1988

Effective Date

10/28/2021

Expiration Date

09/30/2024

City

BLUE ISLAND

State

Zip

60406

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025