JACQUELINE MARIE GOWAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

JACQUELINE

Middle

MARIE

Last Name

GOWAN

Business Name

JACQUELINE MARIE GOWAN MD

Original Issue Date

05/31/2022

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023