OLENA YAKIVNA GORDON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

OLENA

Middle

YAKIVNA

Last Name

GORDON

Business Name

OLENA YAKIVNA GORDON MD

Original Issue Date

11/27/2012

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023