GARY W GOLDEN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033331

License Status

CANCELLED

Business

First Name

GARY

Middle

Last Name

GOLDEN

Business Name

GARY W GOLDEN

Original Issue Date

06/13/1995

Effective Date

06/13/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006