LEE WALTER GOULD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054996

License Status

INACTIVE

Business

First Name

LEE WALTER

Last Name

GOULD

Suffix

Business Name

LEE WALTER GOULD MD

Original Issue Date

07/18/1977

Effective Date

07/18/1977

Expiration Date

07/31/1987

City

LEWISTON

State

Zip

83501

County

IDAHO

Ever Disciplined

LastModifiedDate

09/20/2006