BRENDA J GORDON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

Title

DDS

First Name

BRENDA

Middle

Last Name

GORDON

Business Name

BRENDA J GORDON DDS

Original Issue Date

08/11/2008

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025