MICHAEL GORDON

Controlled Substance Registration - Dentist

Indiana  12005214B   Expired

This Indiana license was held by MICHAEL GORDON. The license is no longer active. It was granted on 12/31/1985 and expired on 03/01/1990

LICENSE DETAILS

  • License Number: 12005214B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 12/31/1985 (over 39 years ago)
  • Expiry Date: 03/01/1990 (over 35 years ago)

LOCATIONS

A Address

642 NORTH CLINE AVENUE, GRIFFITH IN 46319