SARA M GOTHERIDGE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037667

License Status

EXPIRED

Business

First Name

SARA

Middle

Last Name

GOTHERIDGE

Business Name

SARA M GOTHERIDGE

Original Issue Date

06/16/1998

Effective Date

06/16/1998

Expiration Date

06/15/2002

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006