CARMEL LYNN GOUDZWAARD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050949

License Status

CANCELLED

Business

First Name

CARMEL

Middle

LYNN

Last Name

GOUDZWAARD

Suffix

Business Name

CARMEL LYNN GOUDZWAARD MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006