SAMANTHA CLAIRE GORDON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000821

License Status

EXPIRED

Business

Title

First Name

SAMANTHA

Middle

CLAIRE

Last Name

GORDON

Business Name

SAMANTHA CLAIRE GORDON MD

Original Issue Date

03/08/2019

Effective Date

03/08/2019

Expiration Date

09/07/2019

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

01/13/2020