CARMEL LYNN GOUDZWAARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

CARMEL

Middle

LYNN

Last Name

GOUDZWAARD

Suffix

Business Name

CARMEL LYNN GOUDZWAARD MD

Original Issue Date

06/17/2009

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

SAINT CHARLES

State

Zip

60175

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023