License holder summary

PHILLIP V. GORDON is a Board Of Medicine licensed to practice in Idaho. The address on file for PHILLIP V. GORDON is PO Box 4730 Pocatello ID 83205. This licensed professional license is not current. The license was granted 09/02/1996.

Idaho

Division of Occupational and Professional Licenses

PHILLIP V. GORDON
Board Of Medicine
License number
MRM-491
Date granted
09/02/1996
Class
Board Of Medicine
Status
Canceled
Address
PO Box 4730 Pocatello ID 83205
idaholicensing.com
ID 48345670
LAST UPDATED 2024-02-16 08:43:31 UTC

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