GORDON DAVID KAPLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

GORDON

Middle

DAVID

Last Name

KAPLAN

Business Name

GORDON DAVID KAPLAN MD

Original Issue Date

12/03/2019

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023