ROBERT MARK MORDKIN MD - Medical Doctor License in Virginia | # 33*****95

ROBERT MARK MORDKIN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

CANCELLED

Business

N

Title

MD

First Name

ROBERT

Middle

MARK

Last Name

MORDKIN

Business Name

ROBERT MARK MORDKIN MD

Original Issue Date

08/23/2004

Effective Date

08/23/2004

Expiration Date

07/31/2005

State

VA

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/05/2020