PAUL N VANGORDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

PAUL N

Last Name

VANGORDER

Suffix

Business Name

PAUL N VANGORDER MD

Original Issue Date

04/25/1983

Effective Date

04/25/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006

Case Number

1986000783

Action

Suspension

Discipline Start Date

01/30/1986

Discipline End Date

11/30/1986