EDWARD DANIEL GOMETZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056435

License Status

CANCELLED

Business

First Name

EDWARD

Middle

DANIEL

Last Name

GOMETZ

Suffix

Business Name

EDWARD DANIEL GOMETZ MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

06/13/2016