ELLEN GOULD CHADWICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

ELLEN GOULD

Last Name

CHADWICK

Suffix

Business Name

ELLEN GOULD CHADWICK MD

Original Issue Date

02/08/1983

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023