DANIEL D GAUTHIER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

DANIEL D

Last Name

GAUTHIER

Suffix

Business Name

DANIEL D GAUTHIER DO

Original Issue Date

07/26/1991

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

SANDWICH

State

Zip

60548

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023