SANLARE CEMELLE GORDON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

SANLARE

Middle

CEMELLE

Last Name

GORDON

Business Name

SANLARE CEMELLE GORDON DO

Original Issue Date

01/18/2024

Effective Date

01/18/2024

Expiration Date

07/31/2026

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/18/2024