MARK GORDON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040349

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

GORDON

Suffix

Business Name

MARK GORDON MD

Original Issue Date

05/23/1966

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017