JAY S GOSWICK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026788

License Status

EXPIRED

Business

First Name

JAY S

Last Name

GOSWICK

Suffix

Business Name

JAY S GOSWICK DO

Original Issue Date

05/16/1991

Effective Date

05/16/1991

Expiration Date

06/20/1994

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006