MIKALEI YELENA GORDON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072659

License Status

CANCELLED

Business

Title

First Name

MIKALEI

Middle

YELENA

Last Name

GORDON

Business Name

MIKALEI YELENA GORDON MD

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2021

City

CHICAGO

State

Zip

60602

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/26/2018