ROBERT MARK MORDKIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

CANCELLED

Business

Title

First Name

ROBERT

Middle

MARK

Last Name

MORDKIN

Business Name

ROBERT MARK MORDKIN MD

Original Issue Date

08/23/2004

Effective Date

08/23/2004

Expiration Date

07/31/2005

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020