FREDERICK H GOULD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029788

License Status

EXPIRED

Business

First Name

FREDERICK H

Last Name

GOULD

Business Name

FREDERICK H GOULD

Original Issue Date

05/20/1993

Effective Date

05/20/1993

Expiration Date

06/30/1996

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006