SAMUEL J GOLD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031622

License Status

EXPIRED

Business

First Name

SAMUEL J

Last Name

GOLD

Business Name

SAMUEL J GOLD

Original Issue Date

06/01/1994

Effective Date

06/01/1994

Expiration Date

06/23/1997

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006