BRUCE D GOETHE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079574

License Status

NOT RENEWED

Business

First Name

BRUCE D

Last Name

GOETHE

Suffix

Business Name

BRUCE D GOETHE MD

Original Issue Date

11/22/1989

Effective Date

11/22/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006