RAYMOND H S GOUTTAMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068607

License Status

NOT RENEWED

Business

First Name

RAYMOND H S

Last Name

GOUTTAMA

Suffix

Business Name

RAYMOND H S GOUTTAMA MD

Original Issue Date

05/03/1984

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021