ILYSSA OKRENT GORDON MD - Medical Doctor License in Ohio | # 125051211

ILYSSA OKRENT GORDON MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051211

License Status

CANCELLED

Business

N

First Name

ILYSSA

Middle

OKRENT

Last Name

GORDON

Suffix

MD

Business Name

ILYSSA OKRENT GORDON MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

State

OH

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

09/22/2006