DANIEL GORDON CAROTHERS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104293

License Status

INACTIVE

Business

First Name

DANIEL

Middle

GORDON

Last Name

CAROTHERS

Suffix

Business Name

DANIEL GORDON CAROTHERS MD

Original Issue Date

03/02/2001

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014