DAFNA W GORDON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

DAFNA W

Last Name

GORDON

Suffix

Business Name

DAFNA W GORDON MD

Original Issue Date

07/02/1993

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023