DAVID MICHAEL GORDON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064340

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

GORDON

Business Name

DAVID MICHAEL GORDON MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/19/2017