DANIELLE ELISE GORDER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062784

License Status

CANCELLED

Business

Title

First Name

DANIELLE

Middle

ELISE

Last Name

GORDER

Business Name

DANIELLE ELISE GORDER DO

Original Issue Date

06/25/2013

Effective Date

06/25/2013

Expiration Date

06/24/2016

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014