KENNETH I GOLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076349

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

GOLD

Suffix

Business Name

KENNETH I GOLD MD

Original Issue Date

11/14/1987

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023