MARK J GORDON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

GORDON

Suffix

Business Name

MARK J GORDON MD

Original Issue Date

01/22/1990

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021