ZACHARY NEWTON GORDEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070865

License Status

CANCELLED

Business

Title

First Name

ZACHARY

Middle

NEWTON

Last Name

GORDEN

Business Name

ZACHARY NEWTON GORDEN DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/27/2020