EDWARD DANIEL GOMETZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

EDWARD

Middle

DANIEL

Last Name

GOMETZ

Suffix

Business Name

EDWARD DANIEL GOMETZ MD

Original Issue Date

01/25/2017

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60653

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023