LEON MARTIN GUSSOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062652

License Status

ACTIVE

Business

First Name

LEON MARTIN

Last Name

GUSSOW

Suffix

Business Name

LEON MARTIN GUSSOW MD

Original Issue Date

07/27/1981

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

06/21/2023