LAURENCE ROSS GORDON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041046

License Status

EXPIRED

Business

First Name

LAURENCE

Middle

ROSS

Last Name

GORDON

Suffix

Business Name

LAURENCE ROSS GORDON DO

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006