GORDON LESLIE COTELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

GORDON

Middle

LESLIE

Last Name

COTELL

Suffix

Business Name

GORDON LESLIE COTELL MD

Original Issue Date

01/01/1997

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020