ADAM THATCHER GOULD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074941

License Status

EXPIRED

Business

Title

First Name

ADAM

Middle

THATCHER

Last Name

GOULD

Business Name

ADAM THATCHER GOULD MD

Original Issue Date

06/22/2019

Effective Date

06/22/2019

Expiration Date

06/21/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Plastic Surgery - Integrated

Ever Disciplined

LastModifiedDate

05/29/2019