SUSAN H GOULD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067012

License Status

NOT RENEWED

Business

First Name

SUSAN H

Last Name

GOULD

Suffix

Business Name

SUSAN H GOULD MD

Original Issue Date

07/21/1983

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

ROCK FALLS

State

Zip

61071

County

LEE

Ever Disciplined

LastModifiedDate

11/30/2023