GARY W GOLDEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096801

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

GOLDEN

Business Name

GARY W GOLDEN

Original Issue Date

10/08/1997

Effective Date

07/07/2011

Expiration Date

07/31/2014

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2012007497

Action

Summary Suspension

Discipline Start Date

04/23/2014

Discipline End Date

07/21/2014

Discipline Reason

for fraud in obtaining his Illinois Temporary Medical Permit and Illinois Physician and Surgeon License.