BRUCE D GOETHE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020641

License Status

EXPIRED

Business

First Name

BRUCE D

Last Name

GOETHE

Suffix

Business Name

BRUCE D GOETHE MD

Original Issue Date

05/02/1987

Effective Date

05/02/1987

Expiration Date

06/25/1990

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006