DOMONICK KARL ANDRE GORDON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

DOMONICK

Middle

KARL ANDRE

Last Name

GORDON

Business Name

DOMONICK KARL ANDRE GORDON MD

Original Issue Date

05/21/2024

Effective Date

05/21/2024

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026