JONATHAN A GOLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

GOLD

Suffix

Business Name

JONATHAN A GOLD MD

Original Issue Date

07/17/2001

Effective Date

11/09/2006

Expiration Date

07/31/2008

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/06/2008