BRADLEY J GORDON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

BRADLEY J

Last Name

GORDON

Suffix

Business Name

BRADLEY J GORDON MD

Original Issue Date

09/16/1999

Effective Date

09/16/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60624

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020