MELANIE JAYNEE GORDON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049822

License Status

CANCELLED

Business

First Name

MELANIE

Middle

JAYNEE

Last Name

GORDON

Suffix

Business Name

MELANIE JAYNEE GORDON MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006