DANIEL D GAUTHIER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023644

License Status

EXPIRED

Business

First Name

DANIEL D

Last Name

GAUTHIER

Suffix

Business Name

DANIEL D GAUTHIER DO

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/22/1992

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006