JEROME A GOLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

JEROME A

Last Name

GOLD

Suffix

Business Name

JEROME A GOLD MD

Original Issue Date

09/11/1987

Effective Date

09/11/1987

Expiration Date

07/31/1990

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006