R DAVID GORDON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

R DAVID

Last Name

GORDON

Suffix

Business Name

R DAVID GORDON MD

Original Issue Date

06/24/1992

Effective Date

06/24/1992

Expiration Date

07/31/2002

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006