VICKI R GORDON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

VICKI

Middle

Last Name

GORDON

Suffix

Business Name

VICKI R GORDON MD

Original Issue Date

06/28/2022

Effective Date

06/28/2022

Expiration Date

07/31/2023

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023