GORDON CHARLES COLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038907

License Status

NOT RENEWED

Business

First Name

GORDON CHARLES

Last Name

COLSON

Suffix

Business Name

GORDON CHARLES COLSON MD

Original Issue Date

01/17/1964

Effective Date

01/17/1964

Expiration Date

07/31/1990

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/20/2006