GARY STEPHEN GORDON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

GARY STEPHEN

Last Name

GORDON

Suffix

Business Name

GARY STEPHEN GORDON MD

Original Issue Date

11/12/2002

Effective Date

11/12/2002

Expiration Date

07/31/2005

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020