DAVID S GOTTFRIED MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042509

License Status

INACTIVE

Business

First Name

DAVID S

Last Name

GOTTFRIED

Suffix

Business Name

DAVID S GOTTFRIED MD

Original Issue Date

07/01/1969

Effective Date

07/01/1969

Expiration Date

07/31/1987

City

PHOENIX

State

Zip

85014

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006