DANIEL D GAUTHIER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082774

License Status

ACTIVE

Business

First Name

DANIEL D

Last Name

GAUTHIER

Suffix

Business Name

DANIEL D GAUTHIER DO

Original Issue Date

06/28/1991

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

07/03/2023