MICHAEL D GORDON - Medical Doctor License in Wisconsin | # 036102239

MICHAEL D GORDON

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102239

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

D

Last Name

GORDON

Business Name

MICHAEL D GORDON

Original Issue Date

03/30/2000

Effective Date

03/30/2000

Expiration Date

07/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006