SUSAN GOOTNICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157153

License Status

ACTIVE

Business

Title

First Name

SUSAN

Last Name

GOOTNICK

Business Name

SUSAN GOOTNICK MD

Original Issue Date

06/02/2021

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

KENTFIELD

State

Zip

94904

Ever Disciplined

LastModifiedDate

07/27/2023