B DAVID GORMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058385

License Status

NOT RENEWED

Business

First Name

B DAVID

Last Name

GORMAN

Suffix

Business Name

B DAVID GORMAN MD

Original Issue Date

02/21/1979

Effective Date

02/21/1979

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006