GORDON A PAUL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

CANCELLED

Business

First Name

GORDON A

Last Name

PAUL

Business Name

GORDON A PAUL

Original Issue Date

08/22/1995

Effective Date

08/22/1995

Expiration Date

07/31/2008

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008