WAYNE H GORDON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130076

License Status

ACTIVE

Business

Title

First Name

WAYNE

Middle

Last Name

GORDON

Business Name

WAYNE H GORDON MD

Original Issue Date

04/13/2012

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

RESTON

State

Zip

20190

Ever Disciplined

LastModifiedDate

07/13/2023