COLETTE BOSTIN GORDON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052490

License Status

ACTIVE

Business

First Name

COLETTE BOSTIN

Last Name

GORDON

Suffix

Business Name

COLETTE BOSTIN GORDON MD

Original Issue Date

03/26/1976

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023