RAYMOND H S GOUTTAMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

RAYMOND H S

Last Name

GOUTTAMA

Suffix

Business Name

RAYMOND H S GOUTTAMA MD

Original Issue Date

06/25/1984

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

SCHAUMBURG

State

Zip

60194

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021