JASON RYAN GORDON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

JASON

Middle

RYAN

Last Name

GORDON

Business Name

JASON RYAN GORDON MD

Original Issue Date

03/26/2019

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023