ETHAN WILLIAM GAUMOND MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041420

License Status

EXPIRED

Business

First Name

ETHAN

Middle

WILLIAM

Last Name

GAUMOND

Suffix

Business Name

ETHAN WILLIAM GAUMOND MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2001

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006