SUZANNE RANIA GOUDA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066761

License Status

CANCELLED

Business

Title

First Name

SUZANNE

Middle

RANIA

Last Name

GOUDA

Business Name

SUZANNE RANIA GOUDA MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/26/2015