GILBERT M GOLDMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

GILBERT

Middle

Last Name

GOLDMAN

Suffix

Business Name

GILBERT M GOLDMAN MD

Original Issue Date

11/18/1982

Effective Date

11/18/1982

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008