LAURENCE ALAN GORDON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096274

License Status

INACTIVE

Business

First Name

LAURENCE

Middle

ALAN

Last Name

GORDON

Suffix

Business Name

LAURENCE ALAN GORDON MD

Original Issue Date

08/05/1997

Effective Date

08/05/1997

Expiration Date

07/31/2005

City

NASHVILLE

State

Zip

47448

County

INDIANA

Ever Disciplined

LastModifiedDate

09/18/2012