YVETTE F GORDON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

YVETTE

Middle

Last Name

GORDON

Business Name

YVETTE F GORDON

Original Issue Date

04/29/2002

Effective Date

04/29/2002

Expiration Date

07/31/2008

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011