MICHELE MARIE MCGOULD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

MICHELE MARIE

Last Name

MCGOULD

Suffix

Business Name

MICHELE MARIE MCGOULD MD

Original Issue Date

03/26/1997

Effective Date

03/26/1997

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006