GORDON R GLUCKMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

GORDON R

Last Name

GLUCKMAN

Business Name

GORDON R GLUCKMAN

Original Issue Date

07/07/1995

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020