Idaho
Division of Occupational and Professional Licenses
Dr. WAYNE GORDON
Board Of Medicine
License number
M-12734
Date granted
11/17/2014
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
11760 BIRD RD MIAMI FL 33175
idaholicensing.com
ID 48345674
LAST UPDATED 2026-04-01 14:08:38 UTC
LAST UPDATED 2026-04-01 14:08:38 UTC
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