BRIAN M GOTKIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091454

License Status

NOT RENEWED

Business

First Name

BRIAN M

Last Name

GOTKIN

Business Name

BRIAN M GOTKIN

Original Issue Date

07/29/1995

Effective Date

07/29/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006