ROBERT A GORDON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043230

License Status

CANCELLED

Business

First Name

ROBERT

Middle

Last Name

GORDON

Suffix

Business Name

ROBERT A GORDON MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006