CARRIE MICHELLE GOULD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067547

License Status

EXPIRED

Business

Title

First Name

CARRIE

Middle

MICHELLE

Last Name

GOULD

Business Name

CARRIE MICHELLE GOULD MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

10/25/2018