Indiana
Professional Licensing Agency
Mark Gordon
Controlled Substance Registration - Physician
License number
01021975B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
7905 Calumet Avenue, Munster IN 46321
indianalicensing.org
ID 5900917
LAST UPDATED 2024-02-27 13:42:13 UTC
LAST UPDATED 2024-02-27 13:42:13 UTC
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