R DAVID GORDON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066673

License Status

NOT RENEWED

Business

First Name

R DAVID

Last Name

GORDON

Suffix

Business Name

R DAVID GORDON MD

Original Issue Date

06/14/1983

Effective Date

06/14/1983

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006