HERBERT JACK GORDON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

HERBERT JACK

Last Name

GORDON

Business Name

HERBERT JACK GORDON

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005