VICKI R GORDON 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

VICKI

Middle

Last Name

GORDON

Suffix

Business Name

VICKI R GORDON MD

Original Issue Date

02/02/2010

Effective Date

06/02/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60621

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017