KENNETH I GOLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

GOLD

Suffix

Business Name

KENNETH I GOLD MD

Original Issue Date

08/06/1998

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023