LAURENCE ALAN GORDON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032870

License Status

EXPIRED

Business

First Name

LAURENCE

Middle

ALAN

Last Name

GORDON

Suffix

Business Name

LAURENCE ALAN GORDON MD

Original Issue Date

06/01/1995

Effective Date

06/01/1995

Expiration Date

06/20/1998

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006