LUSHAN A GORDON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023677

License Status

NOT RENEWED

Business

First Name

LUSHAN A

Last Name

GORDON

Suffix

DMD

Business Name

LUSHAN A GORDON DMD

Original Issue Date

09/03/1994

Effective Date

09/03/1994

Expiration Date

09/30/2004

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005