SARA M GOTHERIDGE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

SARA

Middle

Last Name

GOTHERIDGE

Business Name

SARA M GOTHERIDGE

Original Issue Date

04/12/2002

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023