GARY STEPHEN GOTTESMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

INACTIVE

Business

First Name

GARY STEPHEN

Last Name

GOTTESMAN

Suffix

Business Name

GARY STEPHEN GOTTESMAN MD

Original Issue Date

04/13/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011