JUSTIN R GORDON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****00

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

GORDON

Suffix

Business Name

JUSTIN R GORDON OD

Original Issue Date

12/09/1997

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016