BRIAN PATRICK GOMOLL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

PATRICK

Last Name

GOMOLL

Business Name

BRIAN PATRICK GOMOLL MD

Original Issue Date

04/16/2012

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023