MARK LORRY GORDON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067926

License Status

INACTIVE

Business

First Name

MARK LORRY

Last Name

GORDON

Suffix

Business Name

MARK LORRY GORDON MD

Original Issue Date

11/07/1983

Effective Date

11/07/1983

Expiration Date

07/31/1987

City

ENCINO

State

Zip

91436

County

COOK

Ever Disciplined

LastModifiedDate

10/11/2012