NICHOLAS S GORDON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

GORDON

Suffix

DDS

Business Name

NICHOLAS S GORDON DDS

Original Issue Date

07/09/1976

Effective Date

07/09/1976

Expiration Date

09/30/2002

City

BATAVIA

State

Zip

60510

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005