JEROLD GORDON MORTON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047739

License Status

CANCELLED

Business

First Name

JEROLD

Middle

GORDON

Last Name

MORTON

Suffix

Business Name

JEROLD GORDON MORTON MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006