RAYMOND H S GOUTTAMA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015178

License Status

EXPIRED

Business

First Name

RAYMOND H S

Last Name

GOUTTAMA

Suffix

Business Name

RAYMOND H S GOUTTAMA MD

Original Issue Date

04/29/1983

Effective Date

04/29/1983

Expiration Date

01/01/1985

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006