Wayne Houston Gordon
ActiveMichigan license EMC0004556
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0004556
- Status
- Active
- First issued
- January 19, 2024
- Expires
- January 19, 2027
- License holder
- Wayne Houston Gordon
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
9240 McClellan Drive
New Albany, OH 43054
New Albany, OH 43054