MICHAEL ALAN GOTTLIEB MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061748

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

ALAN

Last Name

GOTTLIEB

Suffix

Business Name

MICHAEL ALAN GOTTLIEB MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/30/2015