LAURENCE ALAN GORDON MD - Medical Doctor License in Indiana | # 036096274

LAURENCE ALAN GORDON MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096274

License Status

INACTIVE

Business

N

First Name

LAURENCE

Middle

ALAN

Last Name

GORDON

Suffix

MD

Business Name

LAURENCE ALAN GORDON MD

Original Issue Date

08/05/1997

Effective Date

08/05/1997

Expiration Date

07/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

09/18/2012