WAYNE H GORDON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

INACTIVE

Business

Title

First Name

WAYNE

Middle

Last Name

GORDON

Business Name

WAYNE H GORDON MD

Original Issue Date

07/19/2022

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75201

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/10/2025