HAL E GORDON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

HAL E

Last Name

GORDON

Business Name

HAL E GORDON

Original Issue Date

05/02/1995

Effective Date

05/02/1995

Expiration Date

07/31/2002

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006