DANIEL GORDON CAROTHERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

GORDON

Last Name

CAROTHERS

Suffix

Business Name

DANIEL GORDON CAROTHERS MD

Original Issue Date

08/27/2001

Effective Date

08/27/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011