GORDON SAMUEL SHOTT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157372

License Status

ACTIVE

Business

Title

First Name

GORDON

Middle

SAMUEL

Last Name

SHOTT

Business Name

GORDON SAMUEL SHOTT MD

Original Issue Date

06/11/2021

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Ever Disciplined

LastModifiedDate

05/09/2023