LAURENCE ALAN GORDON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

CANCELLED

Business

First Name

LAURENCE

Middle

ALAN

Last Name

GORDON

Suffix

Business Name

LAURENCE ALAN GORDON MD

Original Issue Date

07/30/1998

Effective Date

07/30/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006