MICHAEL B GOTTFURCHT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

GOTTFURCHT

Suffix

Business Name

MICHAEL B GOTTFURCHT MD

Original Issue Date

10/25/2002

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011