MICHAEL D GORDON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102239

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

GORDON

Business Name

MICHAEL D GORDON

Original Issue Date

03/30/2000

Effective Date

03/30/2000

Expiration Date

07/31/2005

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006