SAMANTHA CLAIRE GORDON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Middle

CLAIRE

Last Name

GORDON

Business Name

SAMANTHA CLAIRE GORDON MD

Original Issue Date

04/02/2021

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023