SUSAN H GOULD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

SUSAN H

Last Name

GOULD

Suffix

Business Name

SUSAN H GOULD MD

Original Issue Date

08/22/1983

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

ROCK FALLS

State

Zip

61071

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023