JASON RYAN GORDON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069520

License Status

CANCELLED

Business

Title

First Name

JASON

Middle

RYAN

Last Name

GORDON

Business Name

JASON RYAN GORDON MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/11/2016