FREDERICK H GOULD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

FREDERICK H

Last Name

GOULD

Business Name

FREDERICK H GOULD

Original Issue Date

11/22/1995

Effective Date

11/22/1995

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006