GORDON HARRIS DERMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

GORDON

Middle

HARRIS

Last Name

DERMAN

Suffix

Business Name

GORDON HARRIS DERMAN MD

Original Issue Date

07/17/1990

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023