ROBERT L GORDON JR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

ROBERT

Middle

Last Name

GORDON JR

Business Name

ROBERT L GORDON JR

Original Issue Date

06/18/2004

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023