STEVEN JAY GOULDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

STEVEN

Middle

JAY

Last Name

GOULDER

Suffix

Business Name

STEVEN JAY GOULDER MD

Original Issue Date

06/19/2003

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023