DONALD R GORDON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****09

License Status

NOT RENEWED

Business

First Name

DONALD R

Last Name

GORDON

Suffix

Business Name

DONALD R GORDON OD

Original Issue Date

03/22/1996

Effective Date

02/13/2018

Expiration Date

09/30/2020

City

CLINTON

State

Zip

61727

County

DE WITT

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021