STEWART BRIAN GOTTFRIED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058220

License Status

NOT RENEWED

Business

First Name

STEWART BRIAN

Last Name

GOTTFRIED

Suffix

Business Name

STEWART BRIAN GOTTFRIED MD

Original Issue Date

12/19/1978

Effective Date

12/19/1978

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006